A client in labor who rates pain as 9 on a scale from 1 to 10 requests pain medication after refusing epidural anesthesia. What action should the nurse take prior to administering butorphanol tartrate (Stadol) as prescribed?
1. Offer epidural anesthesia again.
2. Administer oxygen via face mask at 6 to 10 L per minute.
3. Obtain maternal vital signs and assess the fetal heart rate (FHR).
4. Instruct on the actions and contraindications associated with the medication.
Question 2
The nurse is assisting with a precipitous birth. In which order should the nurse perform the following actions after the birth of the fetal head?
1. Instruct the client to push.
2. Suction the baby's mouth, throat, and nose.
3. Exert upward traction to the fetal head to facilitate birth of the posterior shoulder.
4. Exert downward traction on the fetal head to facilitate movement of the anterior shoulder.
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