The primary physician orders a narcotic analgesic for a patient in labor. Which situations would lead the nurse to hold the medication? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Contraction pattern every 3 minutes for 60 seconds
2. Fetal monitor tracing showing late decelerations
3. Patient sleeping between contractions
4. Blood pressure 150/90
5. Blood pressure 80/42
2,5
Rationale 1: This is a normal contraction pattern.
Rationale 2: Late decelerations indicate uteroplacental insufficiency. It would be inappropriate to administer a central nervous depressant.
Rationale 3: This is not a contraindication to receiving a narcotic.
Rationale 4: This is not a contraindication to receiving a narcotic.
Rationale 5: This would be a contraindication, as a narcotic can lower the blood pressure even more.
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Fill in the blank with the appropriate word.
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