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.
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.
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