A patient in labor is requesting pain medication. The nurse assesses her labor status first, focusing on: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. The contraction pattern.
2. The amount of cervical dilatation.
3. When the labor began.
4. Whether the membranes are intact or ruptured.
5. The fetal presenting part.


1,2,5
Rationale 1: The patient should have a good contraction pattern before receiving an analgesic.
Rationale 2: The cervix should be dilated at least 3 or 4 cm for a multipara before analgesic medication is administered.
Rationale 3: This is not relevant.
Rationale 4: This has no bearing on the giving of analgesic.
Rationale 5: This is important, as the head assists in dilatation more than the buttocks do.

Nursing

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