When teaching the pregnant patient about self-medicating for pain during labor, why did the nurse instruct the patient to avoid taking acetylsalicylic acid?
A) Development of respiratory depression in the newborn
B) Interference with the ability to concentrate on contractions
C) Interference with blood coagulation with increased risk of bleeding in mother or infant
D) Competition with bilirubin-binding sites in fetal circulation increases risk of kernicterus.
C
Feedback:
The nurse should caution the pregnant patient not to take acetylsalicylic acid (aspirin) for pain in labor because aspirin interferes with blood coagulation, increasing the risk for bleeding in the newborn or patient. Aspirin does not cause respiratory depression in the newborn, interfere with contractions, or compete with bilirubin-binding cites in fetal circulation.
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