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NCLEX-PN Exam - Topic 3 Question 3 Discussion

Actual exam question for NCLEX's NCLEX-PN exam
Question #: 3
Topic #: 3
[All NCLEX-PN Questions]

When a woman is receiving postpartum epidural morphine, the nurse should plan to observe for which of the following side effects to occur within the first 3 hours?

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Suggested Answer: B

A side effect of postpartum epidural morphine is the onset of itching within 3 hours of injection and lasting up to 10 hours. Nausea and vomiting might occur 4--7 hours after injection. Urinary retention is a side effect of postpartum epidural morphine but is not assessed as such within the first 3 hours. Somnolence is a rare side effect.Health Promotion and Maintenance


by Kristofer at Jun 16, 2025, 10:09 AM

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Charlette
5 months ago
Agreed, all these side effects are important to monitor!
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Tegan
5 months ago
I thought urinary retention was more of a concern later on?
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Wynell
5 months ago
Itching is super common too.
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Latrice
6 months ago
Definitely watch for nausea and vomiting!
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Stevie
6 months ago
Really? Somnolence can happen that quickly?
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Joanna
6 months ago
I recall somnolence being a potential side effect, but I’m not confident if it’s the most immediate one to watch for.
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Nina
6 months ago
I practiced a question similar to this, and I feel like urinary retention was highlighted as a concern, especially in the first few hours.
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Della
7 months ago
I’m not entirely sure, but I think itching is also a side effect that can happen pretty quickly after administration.
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Lashaunda
7 months ago
I remember discussing side effects of epidural morphine in class, and nausea and vomiting were definitely mentioned as common issues.
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Margart
7 months ago
Hmm, I'm not totally confident on this one. I'll make my best guess, but I might need to come back to it if I have time at the end.
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Gilberto
7 months ago
I've got this! Nausea and vomiting are classic side effects of opioid medications like morphine, so that's got to be the right answer.
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Gaynell
7 months ago
I'm a little unsure about this one. Postpartum care is an area I'm not as familiar with, so I'll need to carefully read through the options and try to eliminate the ones that don't seem as likely.
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Ryan
8 months ago
Okay, let me think this through. Morphine can cause a lot of different side effects, so I need to pay close attention to the specific ones mentioned in the question.
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Emogene
8 months ago
Hmm, this seems like a pretty straightforward question. I'll focus on the key details - postpartum epidural morphine and side effects within the first 3 hours.
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Walton
10 months ago
Haha, better keep a barf bag handy just in case! But seriously, I'd say C) urinary retention is the way to go.
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Rima
9 months ago
C) urinary retention
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Ailene
9 months ago
B) itching
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Claudio
9 months ago
A) nausea and vomiting
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Adelina
10 months ago
Hmm, I'm going with A) nausea and vomiting. Opioids like morphine can really mess with a new mom's stomach.
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Amalia
11 months ago
Definitely C) urinary retention. That's a well-known side effect that nurses need to monitor closely.
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Paris
9 months ago
I agree with you, it's actually C) urinary retention.
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Colette
9 months ago
I think it's A) nausea and vomiting.
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Francine
10 months ago
C) urinary retention
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Mozelle
10 months ago
B) itching
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Leonida
10 months ago
A) nausea and vomiting
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Nu
11 months ago
That makes sense, itching is a common side effect of morphine. I'll reconsider my answer.
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Mona
11 months ago
D) somnolence, for sure. Drowsiness and sedation are major concerns with postpartum epidural morphine.
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Adrianna
10 months ago
C) urinary retention
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Lenna
10 months ago
B) itching
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Latanya
11 months ago
A) nausea and vomiting
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Shonda
11 months ago
I think the answer is B) itching. Morphine can cause pruritus, which is a common side effect to watch for.
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Marsha
11 months ago
I think it could also be somnolence, as morphine can make you drowsy.
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Tegan
11 months ago
I agree, itching is a common side effect of morphine.
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Jacquelyne
11 months ago
I disagree, I believe it's B) itching because morphine can cause itching as a side effect.
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Nu
11 months ago
I think the answer is A) nausea and vomiting.
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