The perinatal nurse prepares to assess the labor of a patient who is in the triage area with her partner. She is contracting every 5 to 7 minutes and is very fearful about going home due to extreme fatigue and the distance to her house
The perinatal nurse determines that the patient is a fingertip dilated and50% effaced, and the cervix is anterior. The nurse might anticipate an order for what medication?
A.
Diphenhydramine (Benadryl)
B.
Lorazepam (Ativan)
C.
Promethazine (Phenergan)
D.
Secobarbitol sodium (Seconal)
ANS: D
Secobarbital is the most commonly used barbiturate in labor. It is a fast-acting oral agent that produces mild sedation within 15 minutes following administration, and its effects last for 3 to 4 hours. For this woman, who is not yet ready for admission and exhausted, prescribed rest would be of benefit.
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