A client in labor wants to have a medication-free birth. What should the nurse include when discussing alternatives to pain medication with this client?

1. Emphasize that no medication will be given.
2. Review that the use of medications allows for rest and less fatigue.
3. Explain that pain relief will allow a more enjoyable birth experience.
4. Summarize how maternal pain and stress can have a more adverse effect on the fetus than would a small amount of analgesia.


4
Explanation:
1. It is important to respect the client's wishes when possible. Once the effects are explained, it is still the client's choice whether to receive medication.
2. While pain relief can allow the client to be less fatigued, it might be the view of the nurse but not the client.
3. While pain relief can lead to a more enjoyable experience, it might be the view of the nurse but not the client.
4. The decision not to medicate should be an informed one, and it is possible that the client does not know about the effects pain and stress can have on the fetus. Once the effects are explained, it is still the client's choice whether to receive medication.

Nursing

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