A client experiencing contractions every 8 to 20 minutes that last 20 to 30 seconds requests pain medication. What should the nurse state as the effect of analgesics given at this time?
1. Prolonged labor
2. Maternal hypotension
3. Fetal respiratory depression
4. Decreased analgesic effectiveness at the end of labor
1
Explanation:
1. Pain medication given before labor becomes established is likely to prolong the labor process.
2. Analgesics might lower the blood pressure, but this effect does not cause the contraction pattern to be altered.
3. Pain medication given before established labor does not cause fetal respiratory depression unless the client delivers within an hour of receiving the medication. This is not likely if labor is not established.
4. Medication given early in the labor process does not become less effective at the end of labor.
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