A woman has been diagnosed with hypertonic labor. She has an order for hydromorphone (Dilaudid). The student is preparing the medication and asks the labor nurse the rationale for using it. What response by the nurse is best?
A.
"It is to induce prescribed rest and relax the uterus."
B.
"It's for the pain associated with those strong contractions."
C.
"The patient must be allergic to other pain meds."
D.
"This is the best medication for labor and birth."
ANS: A
Rest, hydration, and sedation often are prescribed in hypertonic labor to reduce the irritability of the uterus and help diminish the ineffective contractions. Medications given include hydromorphone (Dilaudid), meperidine (Demerol), and morphine sulfate (Morphine). The other answers are not accurate.
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