A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?
It can cause medication given at later stages to be ineffective.
It will have no complications for the mother or infant.
It may result in respiratory depression to the newborn.
It will speed up the dilation and effacement.
The Correct Answer is C
A. It can cause medication given at later stages to be ineffective: This is incorrect; narcotic analgesics do not impact the effectiveness of later medications.
B. It will have no complications for the mother or infant: Narcotic analgesics can have side effects, including respiratory depression in the newborn.
C. It may result in respiratory depression to the newborn: Narcotics given close to delivery can depress the newborn’s respiratory efforts.
D. It will speed up the dilation and effacement: Narcotics do not affect the rate of cervical dilation or effacement.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "A repeat cesarean section would be safer for both you and your baby.": VBAC is often safe, depending on the uterine incision type. A blanket statement about safety is inaccurate.
B. "The primary consideration is what type of incision you had.": The type of uterine incision (e.g., low transverse) determines VBAC eligibility due to the risk of uterine rupture.
C. "There are so many variables that you'll have to ask your provider.": While consultation with a provider is important, this response lacks educational value.
D. "It's too soon for you to be worrying about that now.": This response dismisses the client’s concerns and is non-therapeutic.
Correct Answer is A
Explanation
A. Fetal side: The shiny, smooth side is the fetal side, also called the Schultz mechanism.
B. Anterior side: Placental delivery does not differentiate between anterior or posterior uterine positioning.
C. Posterior side: Irrelevant to the description of the placental surface appearance.
D. Maternal side: The maternal side is rough and lobulated, called the Duncan mechanism.
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