Pharmacologic Pain Management During Labor
Pharmacologic Pain Management During Labor ( 10 Questions)
A nurse is reviewing the medical record of a client who is in labor and has a history of asthma.
The nurse should identify that which of the following pharmacologic pain management methods is contraindicated for this client?
Systemic analgesics are not contraindicated for this client, but they have limited efficacy and can cause maternal and fetal respiratory depression, nausea, vomiting, and pruritus.
Inhaled analgesia is contraindicated for this client because it can cause bronchospasm and hypoxia in patients with asthma.
Neuraxial anesthesia is not contraindicated for this client, and it provides the most effective pain relief during labor. However, it may require more frequent monitoring of blood pressure, fetal heart rate, and bladder function.
Paracervical block is not contraindicated for this client, but it is rarely used because it provides only limited pain relief in the first stage of labor and can cause fetal bradycardia and maternal hypotension.
Normal ranges for blood pressure are 90/60 to 120/80 mmHg, for fetal heart rate are 110 to 160 beats per minute, and for bladder function are urine output of at least 30 mL/hour.
Inhaled analgesia is contraindicated for this client because it can cause bronchospasm and hypoxia in patients with asthma.
Normal ranges for blood pressure are 90/60 to 120/80 mmHg, for fetal heart rate are 110 to 160 beats per minute, and for bladder function are urine output of at least 30 mL/hour.