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Worksheets2205 Exam 3 pt.6
Total questions: 98
Worksheet time: 49mins
A client is 4 days postpartum and reports crying for “no reason,” mood swings, anxiety, and insomnia. Which condition best matches the chapter’s description?
Postpartum depression
Postpartum psychosis
Postpartum blues
Bipolar disorder
A nurse is triaging postpartum mood concerns. Which symptom duration most strongly supports postpartum blues rather than postpartum depression?
Symptoms resolve by day 10 without intervention
Symptoms occur within 12 months of birth
Symptoms begin within the first year postpartum
Symptoms persist and do not resolve without intervention
A client states, “I’ve been feeling down since delivery, but it’s only been 6 days.” Which nurse response best aligns with the chapter’s teaching about postpartum blues?
“This always requires medication.”
“These feelings are normal and usually self-limiting, but tell your provider if they persist.”
“This is postpartum psychosis until proven otherwise.”
“This is not related to postpartum changes.”
A postpartum client is 2 weeks postpartum and suddenly begins hallucinating and acting paranoid. Which diagnosis is most consistent with the chapter?
Postpartum blues
Postpartum depression
Postpartum psychosis
Normal maternal adaptation
A postpartum client with severe confusion, disorientation, and delusions is admitted. Which history most increases risk for this condition according to the chapter?
Multiparity
History of bipolar disorder
Younger age
Complications with breastfeeding
A nurse assesses a postpartum client who reports persistent intense mood swings and sadness at 4 months postpartum. Which condition best fits the chapter definition?
Postpartum blues
Postpartum depression
Postpartum psychosis
Normal adjustment
A client asks, “How common is postpartum blues?” Which response matches the chapter?
About 8% to 20% of new parents.
Up to 85% of clients in the first few days after birth.
One in seven clients.
It’s rare.
A nurse is educating a postpartum group. Which statement accurately distinguishes postpartum blues from postpartum depression using the chapter’s wording?
“Blues persist for 12 months without intervention.”
“Depression resolves within 10 days without intervention.”
“Blues typically resolve in 10 days without intervention, but depression usually does not resolve without intervention.”
“Blues include delusions and hallucinations.”
A client is postpartum day 8, not eating well, reports sadness, fatigue, and insomnia, but is still caring for the newborn. Which action best matches the nurse’s role per chapter guidance?
Encourage the client to keep feelings private
Reinforce that it can be normal and self-limiting and to notify the provider if it persists
Tell the client symptoms confirm psychosis
Discontinue all bonding activities until symptoms stop
A nurse is reviewing “expected findings” for postpartum blues. Which finding is included?
Delusions
Paranoia
Crying easily for no apparent reason
Hallucinations
A client is postpartum day 2 and reports restlessness, insomnia, fatigue, headache, and anxiety. Which is the best interpretation?
Findings align with postpartum blues
Findings confirm postpartum psychosis
Findings are not mentioned in the chapter
Findings confirm a thyroid imbalance diagnosis
A client is 5 weeks postpartum and reports guilt, irritability, persistent sadness, and intense mood swings. Which condition most fits the chapter?
Postpartum blues
Postpartum depression
Postpartum psychosis
Typical postpartum recovery
A nurse is screening a postpartum client for perinatal mood disorders. Which approach best aligns with the chapter?
Screen only if the client requests help
Ask questions addressing mood and anxiety throughout pregnancy and postpartum
Screen only at delivery
Screen only if bonding is absent
A nurse is planning required reassessment timing for postpartum depression screening. Which schedule matches the chapter?
Only at 6 months postpartum
Before discharge and reassess at 4 weeks after birth
Only at 12 months postpartum
Only during pregnancy, not postpartum
A postpartum client with suspected perinatal mood disorder is withdrawing and not responding to the newborn. Which nursing action is supported by the chapter?
Avoid observing interactions to respect privacy
Monitor interactions and encourage bonding activities
Encourage separation to reduce stress
Do not address mood unless suicidal thoughts are present
A postpartum client states, “I’m scared I might hurt myself.” What is the nurse’s priority according to the chapter?
Provide the client with community resource pamphlets
Ask about self-harm, suicide, or harming the newborn and prioritize safety of client and newborn
Encourage the client to sleep more
Reassure the client that this is always self-limiting
A nurse is caring for a client with postpartum psychosis. Which action is the priority in the chapter’s question?
Reinforce taking antipsychotics as prescribed
Ask if the client has thoughts of harming self or infant
Monitor the infant for failure to thrive
Review the record for bipolar disorder history
A postpartum nurse receives report: client is disoriented, confused, paranoid, and has rapid mood swings. Which physical assessment finding listed best matches postpartum psychosis?
Flat affect
Weight loss
Behaviors indicating hallucinations or delusional thoughts of harming self/newborn
Lack of appetite
A postpartum client reports intense anxiety and panic attacks along with persistent sadness and lack of appetite. Which condition is most consistent with the chapter?
Postpartum blues
Postpartum depression
Normal postpartum recovery
Mastitis-related mood changes
A nurse is identifying risk factors for postpartum mood disorders. Which factor is listed?
Increased progesterone levels postpartum
Rapid decline in estrogen and progesterone levels
Increased insulinase postpartum
Increased oxytocin levels postpartum
A nurse is screening for postpartum depression risk. Which client factor from the chapter increases risk?
Strong social support system
Intended pregnancy
History of previous depressive disorder
Older age only
A nurse assesses a client who reports low self-esteem and anxiety about the new parenting role. Which statement is accurate per the chapter?
These are listed risk factors for perinatal mood disorders
These are diagnostic findings of endometritis
These are expected findings of mastitis
These are unrelated to postpartum conditions
A nurse reviews risk factors and notes the client has a history of partner violence and decreased social support. Which conclusion is supported by the chapter?
These reduce risk for PMDs
These are risk factors for PMDs
These are findings of postpartum psychosis
These indicate normal postpartum blues only
A postpartum client with diabetes and thyroid imbalance asks if medical conditions can affect postpartum mood disorders. Which response is accurate per the chapter?
Only socioeconomic factors matter
Medical conditions including thyroid imbalance and diabetes are risk factors
Medical conditions are not relevant postpartum
Only breastfeeding complications matter
A nurse is teaching a client about postpartum depression prevalence. Which statement matches the chapter?
“It affects up to 85% of clients.”
“It affects one in seven clients.”
“It affects one in fifty clients.”
“It affects only clients with bipolar disorder.”
A nurse is explaining AWHONN guidance. Which statement is consistent with the chapter’s definition of perinatal mood disorders (PMDs)?
PMDs only occur after delivery
PMDs can occur any time during pregnancy and during the first year postpartum
PMDs occur only in the first 10 days postpartum
PMDs occur only in clients with unintended pregnancy
A client asks what disorders are included under PMDs per the chapter. Which answer is correct?
Endometritis, mastitis, UTI
Depression, bipolar disorder, anxiety, postpartum psychosis
DIC, DVT, pulmonary embolism
Hemorrhage, uterine atony, subinvolution
A nurse evaluates whether the newborn may be affected by a parent’s perinatal mood disorder. Which concern is explicitly stated in the chapter?
Neonatal hyperbilirubinemia
Failure to thrive secondary to inability of the parent to provide care
Congenital anomalies from postpartum blues
Respiratory distress syndrome
A client is postpartum day 9 with mood swings, crying, insomnia, and lack of appetite but denies thoughts of self-harm. Which nursing action best fits chapter guidance?
Provide reassurance that it’s normal and self-limiting and to notify provider if it persists
Discharge without education
Diagnose postpartum psychosis immediately
Focus only on newborn weight checks
A nurse observes a postpartum client who is tearful and anxious but still engaging in newborn care. Which finding aligns most with postpartum blues from the chapter?
Delusions
Hallucinations
Feeling of inadequacy with crying
Disorientation
A postpartum client is 3 weeks postpartum and becomes paranoid and disoriented. Which timing best matches the chapter’s onset window?
Within the first few days only
Within 12 months only
Within the first 2 to 3 weeks postpartum
Only after 6 months postpartum
A nurse is teaching that postpartum depression usually does not resolve without intervention. Which client statement indicates correct understanding?
“This should go away in 10 days without help.”
“If it doesn’t resolve, I should notify my provider because I might need treatment.”
“This is always normal and should be ignored.”
“Only psychosis needs treatment.”
A nurse is creating a discharge plan for a client at high risk for postpartum depression. Which action is supported by the chapter?
Delay follow-up until the traditional postpartum visit only
Contact a community resource to schedule a follow-up visit after discharge
Avoid discussing mood concerns to prevent anxiety
Encourage the client to isolate for rest
A nurse is reinforcing discharge education for postpartum mood concerns. Which instruction is included under client education in the chapter?
“Avoid naps to sleep better at night.”
“Get plenty of rest and nap when the newborn sleeps.”
“Do not use community resources.”
“Avoid taking time out for yourself.”
A nurse teaches a client at risk for postpartum depression to plan care after discharge. Which is specifically recommended?
Wait for the traditional postpartum visit no matter what
Schedule a follow-up visit prior to the traditional postpartum visit if at risk
Avoid follow-up visits unless psychosis occurs
Follow-up is only needed at 12 months
A nurse is planning referrals. Which community resource is explicitly listed in the chapter as an example?
AWHONN hotline only
La Leche League
Blood bank services
Radiology center
A nurse is discussing medication categories for postpartum psychosis. Which combination is listed?
Antipsychotics, benzodiazepines, and mood stabilizers
Oxytocics and antifibrinolytics
Beta blockers and calcium channel blockers
Antacids and laxatives
A postpartum client has postpartum depression symptoms and asks about medication. Which statement matches the chapter?
Antidepressants can be prescribed by the provider if indicated
Antidepressants are never used postpartum
Only antibiotics are used postpartum mood disorders
Antidepressants are used only for blues
A nurse is differentiating postpartum depression vs psychosis. Which finding is listed for postpartum depression (not psychosis) in the chapter?
Hallucinations
Delusions
Flat affect
Disorientation
A postpartum client says, “I keep thinking my baby would be better without me.” Which manifestation from the chapter most directly triggers priority safety assessment?
Lack of appetite
Headache
Thoughts of harming self or newborn
Mood swings
A nurse notes a client’s symptoms are “sadness, crying, insomnia” but only for 3 days postpartum. Which nursing interpretation is best?
This is postpartum depression by definition
This is postpartum blues pattern and can resolve by 10 days
This is postpartum psychosis because crying is present
This is unrelated to postpartum changes
A nurse is teaching risk factor recognition. Which client situation is a risk factor listed in the chapter?
Strong social support
Intended pregnancy
Complications with breastfeeding
High self-esteem
A nurse is assessing a client with persistent postpartum sadness and intense mood swings and notes weight loss and rejection of the newborn. Which condition best matches?
Postpartum blues
Postpartum depression
Postpartum psychosis
Normal postpartum fatigue
A nurse is reviewing expected postpartum blues findings with a new nurse. Which cluster is correct per the chapter?
Confusion, delusions, paranoia
Mood swings, anxiety, crying, insomnia, lack of appetite
Dyspnea, tachypnea, chest pain
Uterine tenderness, malodorous lochia
A nurse is providing patient-centered care to a postpartum client with mood concerns. Which nursing action is specifically supported by the chapter?
Encourage the client to suppress feelings
Encourage communication of feelings, validate conflicts, reinforce personal power and autonomy
Discourage discussion of role changes
Limit bonding to reduce stimulation
A nurse is monitoring postpartum mental health and newborn wellbeing. Which monitoring pair is directly stated in the chapter?
Monitor lochia and fundal height only
Monitor suicidal/delusional thoughts and monitor the newborn for failure to thrive
Monitor incision only and newborn temperature
Monitor newborn feeding only and ignore parent affect
A nurse is reviewing ACOG-related statements in the chapter. Which statement matches the text?
ACOG says perinatal depression is rare
ACOG identifies perinatal depression as one of the most common medical conditions during pregnancy and postpartum
ACOG does not recommend screening
ACOG limits screening to clients with psychosis
A postpartum client asks, “Which condition lasts up to 10 days and resolves without intervention?” Which condition should the nurse name?
Postpartum blues
Postpartum depression
Postpartum psychosis
Bipolar disorder
A postpartum client is 7 months postpartum with persistent sadness and intense mood swings. Which condition is most consistent with the chapter’s time frame?
Postpartum blues
Postpartum depression
Postpartum psychosis
Normal postpartum adjustment
A client at 41 weeks gestation is prescribed oxytocin for induction. Which nursing action is essential to ensure safe medication administration?
Give oxytocin IM to start labor faster
Use an infusion pump for IV oxytocin administration
Warm dinoprostone gel using an external heat source before starting oxytocin
Encourage the client to lie flat supine without a lateral tilt throughout infusion
A nurse is titrating oxytocin during the first stage of labor. Which contraction pattern best reflects the chapter’s stated goal?
Contractions lasting 90 seconds every 1 minute
Contractions lasting 45 to 60 seconds or less every 2 to 3 minutes
Contractions lasting 30 seconds every 5 minutes
Contractions lasting 60 to 90 seconds every 4 to 5 minutes
A nurse notes more than five uterine contractions in 10 minutes in a client receiving oxytocin. Which complication should the nurse suspect?
Water intoxication
Uterine tachysystole
Hypertensive crisis
Venous thrombosis
A client receiving oxytocin suddenly reports confusion and headache. The nurse also notes listlessness. Which complication is most consistent with the chapter?
Hypocalcemia
Water intoxication with electrolyte imbalance
Pulmonary edema from terbutaline
Gastric irritation from indomethacin
A nurse is monitoring a client on oxytocin and wants to follow the chapter’s vital sign guidance. How often should blood pressure, respiratory rate, and pulse be monitored?
Every 5 minutes continuously throughout labor
Every 2 hours unless contractions change
Every 30 to 60 minutes and with every dosage change
Only at baseline and after delivery
A nurse is evaluating a fetal heart rate tracing while oxytocin is infusing. Which nursing priority is most consistent with the chapter?
Discontinue fetal monitoring once the client reaches 4 cm
Continuously monitor fetal heart rate and rhythm and report fetal distress
A client has a scheduled cesarean section but the provider writes an order for oxytocin induction. Which action should the nurse take based on the chapter’s precautions?
Administer oxytocin and reassess in 2 hours
Question the order due to oxytocin precautions with scheduled cesarean section
Give dinoprostone instead without notifying the provider
Start terbutaline to prevent tachysystole
A nurse is reviewing a client’s history before starting oxytocin. Which maternal factor is listed as a contraindication/precaution in the chapter?
History of multiple births
Mild nausea
Breastfeeding
Prior varicella vaccination
A client in labor has active genital herpes. A prescription is written for oxytocin induction. What is the best nurse response based on the chapter?
Start oxytocin at the highest dose to shorten labor
Start oxytocin only after giving nifedipine
Recognize active genital herpes as a maternal contraindication/precaution and question the order
Substitute misoprostol for oxytocin without provider input
A client’s fetus is documented as having a prolapsed umbilical cord. Which uterine stimulant is contraindicated per the chapter’s fetal factors list for oxytocin?
Oxytocin
Hydroxyprogesterone caproate
Betamethasone
Naloxone
A nurse is preparing dinoprostone gel for cervical ripening. Which step follows the chapter’s nursing administration instructions?
Warm the gel using an external warming device
Cool the gel in ice water to reduce tachysystole risk
Allow dinoprostone gel to warm to room temperature without external warming
Shake the gel vigorously immediately before insertion
A client receives a dinoprostone vaginal insert. Which instruction should the nurse give per the chapter?
Ambulate for 2 hours after insertion
Remain in position for 2 hours following administration
Remain in position for 30 to 40 minutes only
Sit upright in a chair for 1 hour to improve circulation
A nurse administers misoprostol for cervical ripening. Which action is required immediately after administration based on the chapter?
Keep the client in position for 30 to 40 minutes
Encourage immediate showering for comfort
Place the client in Trendelenburg
Begin oral nifedipine every 3 hours
A client receiving dinoprostone develops vomiting and diarrhea. Which complication does the nurse recognize as listed in the chapter?
Hypertensive crisis
Gastrointestinal reactions
Venous thrombosis
Respiratory depression
A nurse is monitoring a client who received misoprostol. Which complication is specifically listed for misoprostol in the chapter?
Uterine rupture
Non-reassuring fetal heart rate
Severe hypertension after vasopressors
Partial closure of ductus arteriosus
A provider prescribes misoprostol for a client with a prior uterine surgery. Which nursing action is most appropriate based on the chapter?
Administer misoprostol and monitor intake and output only
Recognize previous uterine surgery as a contraindication and question the order
Replace misoprostol with carboprost automatically
Give hydroxyprogesterone caproate instead
A client with postpartum hemorrhage is prescribed methylergonovine maleate. Which complication must the nurse monitor for per the chapter?
Hypertensive crisis
Water intoxication
Venous thrombosis
Respiratory depression
A nurse is caring for a postpartum client with preeclampsia. The provider orders methylergonovine for hemorrhage. Which action should the nurse take based on the chapter?
Administer the medication only after breastfeeding
Question the order due to contraindication/precaution with hypertension/preeclampsia
Give the medication IV routinely after placenta delivery
Substitute oxytocin with no further steps
A nurse prepares to administer methylergonovine for uterine involution after placenta passage. Which route is appropriate per the chapter?
IM after passage of placenta
Oral immediately before delivery
IV routinely to prevent nausea
Subcutaneous every 15 minutes
A breastfeeding client is prescribed methylergonovine. Based on the chapter, what instruction is correct?
Breastfeeding is encouraged during therapy without restriction
The medication is contraindicated for breastfeeding; breastfeeding may resume 12 hr following last dose
Breastfeeding must be permanently stopped
Pump and discard milk for 7 days minimum
A client with serious postpartum hemorrhage is prescribed carboprost tromethamine. Which adverse effect should the nurse anticipate as most common per the chapter?
Diarrhea
Hyponatremia
Vision loss
Hypocalcemia
A nurse administers carboprost and the client reports nausea and vomiting. Which nursing action is most consistent with the chapter?
Encourage grapefruit juice intake to stabilize blood pressure
Administer an antiemetic or antidiarrheal medication as needed
Discontinue fetal heart monitoring immediately
Restrict oral intake to 500 mL/day
A provider orders carboprost for a client with a history of respiratory problems. Which concern should the nurse prioritize based on the chapter?
Carboprost can constrict bronchi; monitor for respiratory problems
Carboprost increases risk for water intoxication
Carboprost is contraindicated only for kidney failure
Carboprost must be given PO with food
A postpartum client experiencing serious hemorrhage is prescribed tranexamic acid. According to the chapter, when is administration recommended?
Only after 24 hours postpartum
Within 3 hours of birth
Only after cesarean deliveries
Only after dinoprostone fails
A nurse is educating a client receiving tranexamic acid. Which complication is listed in the chapter that the nurse should monitor for?
Thromboembolic events such as deep vein thrombosis or pulmonary embolism
Water intoxication with hyponatremia
Symptomatic bradycardia requiring pacing
Uterine atony leading to increased bleeding
A client receiving tranexamic acid reports sudden changes in vision. Which action is most aligned with the chapter?
Ignore because headache is expected
Monitor for arterial thrombosis (retina) by assessing vision changes
Administer naloxone
Start nifedipine immediately
A nurse reviews a medication profile for a client planned for tranexamic acid therapy. Which finding is a contraindication per the chapter?
History of thrombosis
History of nausea
History of anemia
History of constipation
A client taking oral contraceptives is prescribed tranexamic acid. Which nursing action is most appropriate based on the chapter?
Administer as ordered; oral contraceptives decrease bleeding risk
Recognize tranexamic acid is contraindicated for clients who take oral contraceptives and question the order
Reduce oxytocin dose and proceed with tranexamic acid
Substitute nalbuphine for tranexamic acid
A client is receiving oxytocin and then requires a vasopressor. What complication does the chapter warn can occur if oxytocin follows vasopressors?
Severe hypertension
Severe hypoglycemia
Pulmonary edema
Uterine inversion
A nurse is planning to administer dinoprostone and notes the provider also ordered another oxytocic concurrently. Which action is correct per the chapter?
Proceed; other oxytocics decrease dinoprostone effects
Avoid concurrent use because other oxytocics increase effects
Give misoprostol first to reduce diarrhea risk
Give naloxone before dinoprostone to prevent respiratory depression
A client is taking magnesium-containing antacids and is prescribed misoprostol. Which concern is most consistent with the chapter?
Increased risk for diarrhea with concurrent aluminum- or magnesium-containing antacids
Increased risk for severe hypertension after vasopressors
Increased risk for uterine rupture only after 41 weeks
Increased risk for thrombosis
A nurse is teaching about methylergonovine interactions. Which client statement indicates a need for further teaching?
“I will avoid grapefruit juice while taking this medication.”
“I will avoid tobacco use because smoking can cause vasoconstriction.”
“I will take vasopressors as needed without telling my provider.”
“I will allow the nurse to monitor my vital signs.”
A client with preterm labor is prescribed terbutaline. Which statement shows correct understanding per the chapter?
“This medication will delay labor for up to 48 hours, but not prevent it.”
“This medication will permanently stop contractions.”
“This medication works by increasing prostaglandin production.”
“This medication will mature my baby’s lungs within 1 hour.”
A client receiving terbutaline has a heart rate of 124/min and reports chest pain. What is the nurse’s best action per the chapter?
Give the next dose to prevent contractions
Withhold terbutaline and contact the provider
Give nifedipine and continue terbutaline
Increase IV fluids to 4,000 mL/day
A nurse is monitoring terbutaline therapy. Which maternal adverse effect is listed in the chapter?
Hypokalemia
Severe constipation
Bradycardia
Hyponatremia
A nurse is caring for a client on terbutaline and wants to prevent complications. Which lab value is most important to monitor per the chapter?
Potassium
Hemoglobin
Platelets
INR
A client asks why terbutaline teaching includes limiting fluids. Which daily intake limit does the chapter list?
1,000 mL/day
1,500 mL/day
2,500 to 3,000 mL/day
4,500 to 5,000 mL/day
A client is prescribed nifedipine to suppress preterm labor. Which complication should the nurse anticipate based on the chapter?
Headache and hypotension
Water intoxication
Hypertensive crisis
Respiratory depression
A client has preterm labor and is prescribed nifedipine, but the chart also shows magnesium sulfate is running. What is the best nurse action per the chapter?
Continue both; they work best together
Avoid concurrent use of nifedipine with magnesium sulfate
Add terbutaline for stronger suppression
Administer indomethacin first to prevent nausea
A client with preeclampsia is receiving magnesium sulfate. Which finding requires the nurse to report to the provider per the chapter’s “intolerable” list?
Respirations 14/min
Urine output 24 mL/hr
2+ deep tendon reflexes
Mild hot flashes
A nurse is monitoring for magnesium sulfate toxicity. Which finding is specifically listed as an adverse effect requiring discontinuation?
Increased appetite
Loss of deep tendon reflexes
Mild pedal edema
Heart rate 84/min
A nurse is caring for a client receiving magnesium sulfate and follows the chapter guidance. Which medication must be available as an antidote?
Naloxone
Calcium gluconate
Protamine sulfate
Phytonadione
A nurse is administering magnesium sulfate and wants to follow the chapter’s IV fluid limit recommendation. What is the maximum total IV fluid rate?
75 mL/hr
125 mL/hr
200 mL/hr
250 mL/hr
A client with diabetes mellitus is prescribed indomethacin for early preterm labor. Which nursing action is required per the chapter?
Monitor for hypercalcemia
Monitor blood glucose due to risk of hypoglycemia with insulin/antihyperglycemics interactions
Monitor INR daily
Monitor uterine inversion risk
A pregnant client at 30 weeks gestation is prescribed betamethasone. What is the expected pharmacological action in the chapter?
Suppresses uterine contractions by blocking calcium channels
Releases enzymes that produce and release lung surfactant to stimulate fetal lung maturity
Produces strong uterine contractions to deliver the placenta
Reverses opioid respiratory depression in the newborn
A nurse is preparing to administer betamethasone for fetal lung maturity. Which administration schedule matches the chapter?
Two injections IM at least 24 hours apart
Four doses IM 12 hours apart
Continuous IV infusion for 48 hours
One dose PO daily for 7 days
A nurse is teaching a client receiving betamethasone. Which statement by the nurse is most accurate per the chapter?
This medication is effective immediately.
Betamethasone requires about 24 hours to be effective.
This medication is only used at 37 to 40 weeks.
This medication prevents preterm labor permanently.
A nurse is preparing to administer opioid analgesics during labor. Which assessment must be verified per the chapter before giving analgesics?
Cervical dilation at least 4 cm with the fetus engaged
Cervical dilation at least 1 cm with membranes intact
Blood pressure below 90/60
Continuous diarrhea for 12 hours
A client receives fentanyl IV during labor and the newborn shows severe respiratory depression at birth. Which medication should the nurse anticipate needing per the chapter?
Calcium gluconate
Naloxone
Betamethasone
Oxytocin
