A patient is experiencing considerable postpartum pain from an episiotomy and reports that the pain is a 7 on a scale of 1 to 10. What type of pain medication is the nurse most likely going to provide to this patient?
A) Narcotic analgesia intravenously as needed
B) One-time epidural anesthesia
C) Codeine every six to eight hours
D) Ibuprofen on demand
Question 2
A patient has been in labor for five hours. Earlier
there was a gradual increase in FHR baseline with variables, but the patient has changed position several times and now the fetus shows no signs of hypoxia. The cervix is almost completely effaced and is dilated to 8 cm. However, the labor graph indicates that the fetus has stopped descending. What should the nurse do first?
A) Inform the physician that internal fetal monitoring may be needed
B) Palpate the area just above the symphysis pubis
C) Institute effleurage and apply pressure to the patient's lower back during contractions
D) Encourage the patient to push
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