Summary
Summary ( 15 Questions)
A nurse is caring for a client who is in active labor and requests pain medication.
Which of the following factors should the nurse consider when choosing a systemic analgesic? (Select all that apply.).
The stage and phase of labor and the fetal heart rate and pattern are important factors that the nurse should consider when choosing a systemic analgesic for a client who is in active labor.
the maternal vital signs are not a major factor in choosing a systemic analgesic, unless they are abnormal or unstable.
the method of delivery is not a factor in choosing a systemic analgesic, unless the client has a contraindication to regional anesthesia.
The stage and phase of labor and the fetal heart rate and pattern are important factors that the nurse should consider when choosing a systemic analgesic for a client who is in active labor.
the maternal blood type is not a factor in choosing a systemic analgesic, unless the client has a blood disorder or is at risk of hemorrhage.
The stage and phase of labor and the fetal heart rate and pattern are important factors that the nurse should consider when choosing a systemic analgesic for a client who is in active labor. Systemic analgesics can cross the placenta and affect the fetus, so the nurse should monitor the fetal heart rate and pattern for any signs of distress or changes. The stage and phase of labor can influence the timing and effectiveness of systemic analgesics, as well as the risk of adverse effects on the mother and the fetus. For example, systemic analgesics given too early in labor may prolong labor, whereas systemic analgesics given too late in labor may cause respiratory depression in the newborn.
Normal ranges for maternal vital signs are: blood pressure 110/60 to 140/90 mm Hg, pulse 60 to 100 beats per minute, respiratory rate 12 to 20 breaths per minute, and temperature 36.5 to 37.5°C (97.7 to 99.5°F).
Normal ranges for fetal heart