CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

Meperidine is administered to a client who is in labor. Which of the following actions by the midwife is the most effective when caring for a client who is administered with meperidine?
  1. Closely monitor the client’s temperature.
  2. Prepare naloxone.
  3. Maintain the client in semi - Fowler’s position.
  4. Closely monitor for hypertension.
Explanation
Answer: B - The most effective action of the midwife is to prepare naloxone. Meperidine may cause respiratory depression. If the client’s respiratory rate falls below 12 breaths per minute, naloxone, its antidote, may be administered. The client is maintained in dorsal recumbent. Meperidine is most likely to cause hypotension.
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