Narcotic analgesia is administered to a laboring patient at 10:00 a.m. The infant is delivered at 12:30 p.m. The nurse would anticipate that the narcotic analgesia could:
1. Be used in place of preoperative sedation.
2. Result in neonatal respiratory depression.
3. Prevent the need for anesthesia with an episiotomy.
4. Enhance uterine contractions.
2
Rationale 1: Analgesics do not take the place of preoperative sedation.
Rationale 2: Because analgesics can last for more than 3 hours, the newborn is at risk for respiratory depression.
Rationale 3: Local anesthetic is needed for an episiotomy.
Rationale 4: Analgesics do not enhance uterine contractions.
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