A patient in labor with chronic back pain tells the nurse about taking a dose of hydrocodone/acetaminophen (Vicodin) for labor pain prior to coming to the hospital. What should the nurse prepare to do once the fetus is delivered?
A) Evaluate the fetus for withdrawal symptoms.
B) Inform the physician so that liver effects can be monitored.
C) Suggest that no additional narcotic pain medication be provided during labor.
D) Coach the patient in breathing techniques because other pain medication is contraindicated.
E) Request that the physician prescribe the same medication to be used for pain during labor.
A, B
Feedback:
A typical prescription drug abused by women is hydrocodone/acetaminophen (Vicodin) because this is frequently prescribed for chronic back pain. The half-life of this drug is about 2 hours in addicted women. Even though it appears to have little effect on newborns, the newborn needs to be observed for both withdrawal and liver effects. The patient can receive other narcotic pain medication during labor. Other pain medication is not contraindicated for this patient. There are other, more safe pain medications that can be prescribed for the patient and fetus during labor.
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