When giving a narcotic to a laboring client, which statement explains why the nurse should inject the medication at the beginning of a contraction?
a. The medication will be rapidly circulated.
b. Less medication will be transferred to the fetus.
c. The maternal vital signs will not be adversely affected.
d. Full benefit of the medication is received during that contraction.
ANS: B
Injecting at the beginning of a contraction, when blood flow to the placenta is normally reduced, limits transfer to the fetus. It will not increase the circulation of the medication. It will not alter the vital signs any more than giving it at another time. The full benefit will be received by the woman, but it will decrease the amount reaching the fetus.
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