A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?

It can cause medication given at later stages to be ineffective.

It will have no complications for the mother or infant.

It may result in respiratory depression to the newborn.

It will speed up the dilation and effacement.

Answer and Explanation

The Correct Answer is C

A. It can cause medication given at later stages to be ineffective: This is incorrect; narcotic analgesics do not impact the effectiveness of later medications.

B. It will have no complications for the mother or infant: Narcotic analgesics can have side effects, including respiratory depression in the newborn.

C. It may result in respiratory depression to the newborn: Narcotics given close to delivery can depress the newborn’s respiratory efforts.

D. It will speed up the dilation and effacement: Narcotics do not affect the rate of cervical dilation or effacement.

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Correct Answer is A

Explanation

A. Contractions that stop or decrease with activity: False labor contractions (Braxton Hicks) often subside with rest or a change in activity.

B. Progressive dilation and effacement of the cervix: This is a hallmark of true labor, not false labor.

C. Regular and increasing contractions: True labor contractions occur regularly, intensify, and increase in frequency and duration.

D. Lower back pain and pressure: Often associated with true labor, although some false labor contractions may also cause discomfort.

A. How long the patient states the contractions last. B. The time between the end of one contraction and the beginning of the next. C. The time between the beginning and the end of one contraction. D. The time between the beginning of one contraction and the beginning of the next.

Correct Answer is D

Explanation

A. How long the patient states the contractions last: This measures contraction duration, not frequency.

B. The time between the end of one contraction and the beginning of the next: This measures the interval, not frequency.

C. The time between the beginning and the end of one contraction: This measures the contraction’s duration.

D. The time between the beginning of one contraction and the beginning of the next: This is the standard way to measure contraction frequency.

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A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following signs or symptoms may indicate false labor in a patient?

Correct Answer is A

Explanation

What does the nurse note when measuring the frequency of a laboring woman’s contractions?

Correct Answer is D

Explanation

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A nurse is assisting in the care of a client who is in active labor. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following as a cause of variable decelerations?

A woman in the transition phase of labor requests a narcotic analgesic medication for pain relief. What should the nurse explain regarding giving a narcotic analgesic medication at this stage of labor?

The following procedures are routinely performed when a woman is admitted to a birth facility except?