A patient has just been admitted for labor and delivery. She is ...

[bobthebuilder]

A patient has just been admitted for labor and delivery. She is having mild contractions lasting 30 seconds every 15 minutes. The patient wants to have a medication-free birth.
 
  When discussing medication alternatives, the nurse should be sure the patient understands that: 1. In order to respect her wishes, no medication will be given.
  2. Pain relief will allow a more enjoyable birth experience.
  3. The use of medications allows the patient to rest and be less fatigued.
  4. Maternal pain and stress can have a more adverse effect on the fetus than would a small amount of analgesia.

Question 2

The nurse is caring for a child who has been sedated for a painful procedure. The priority nursing activity for this child is
 
  1. allow parents to stay with the child.
  2. monitor pulse oximetry.
  3. assess the child's respiratory effort.
  4. place the child on a cardiac monitor.

[Eunice618]

Answer to Question 1

4
Rationale 1: It is important to respect the patient's wishes when possible. Once the effects are explained, it is still the patient's choice whether to receive medication.
Rationale 2: While pain relief can lead to a more enjoyable experience, that might be the view of the nurse but not of the mother.
Rationale 3: While pain relief can allow the mother to be less fatigued, that might not be the mother's first priority.
Rationale 4: The decision not to medicate should be an informed one, and it is possible that the patient does not know about the effects pain and stress can have on the fetus. Once the effects are explained, however, it is still the patient's choice whether to receive medication.

Answer to Question 2

Answer:3
Rationale: When the child is sedated for a procedure,it is very important for the nurse to actually visualize the child and his effort of breathing. Although equipment is important and is used routinely during sedation, it does not replace the need for visual assessment.Parents may be allowed to stay with the child,but assessment of breathing effort must take priority.