The nurse is discussing the pros and cons of IV opioid administration during active labor with a client.

Which statement by the client indicates a need for further education?

Choice A rationale:

Fetal lung maturity is not assessed through chorionic villus sampling (CVS). It's primarily evaluated through amniocentesis, a different prenatal diagnostic procedure that involves sampling amniotic fluid.

CVS focuses on placental tissue, not lung development.

It's essential for clients to understand the specific purposes of each prenatal test to make informed decisions and have accurate expectations.

Choice B rationale:

While a non-stress test (NST) might be recommended after CVS in some cases, it's not a routine part of the procedure.

The decision to conduct an NST is based on individual risk factors and assessment by healthcare providers.

It's essential for clients to understand the potential need for additional testing but not assume it's always required.

Choice C rationale:

CVS is considered an invasive procedure, as it involves entering the uterus to collect placental tissue.

Non-invasive prenatal testing (NIPT) methods, which analyze fetal DNA in maternal blood, are available for screening purposes.

It's crucial for clients to differentiate between invasive and non-invasive prenatal testing options to make informed choices based on their preferences and risk factors.

Choice D rationale:

This statement accurately reflects the primary purpose of CVS.

It's a diagnostic procedure that can detect various genetic abnormalities, such as Down syndrome, cystic fibrosis, and TaySachs disease, during the first trimester of pregnancy.

Understanding the ability to detect genetic abnormalities early in pregnancy allows clients to make informed decisions about their pregnancy management and prepare for potential outcomes.

Choice A rationale:

Restriction of movement is not a necessary requirement following IV opioid administration during labor. While some healthcare providers may encourage laboring individuals to rest after receiving pain medication, it is not mandatory to remain in bed.

In fact, remaining upright and mobile can often be beneficial during labor. Movement can help encourage fetal descent, improve circulation, and potentially even shorten labor duration.

It's essential to educate clients about the benefits of staying active during labor, even after receiving pain medication. This can empower them to make informed choices about their comfort and positioning during the birthing process.

Choice B rationale:

This statement is accurate. IV opioids can cross the placenta and potentially affect the fetal heart rate.

It's crucial for clients to be aware of this potential effect so that they can understand the importance of fetal monitoring during labor. Healthcare providers will closely monitor the baby's heart rate to ensure it remains within a normal range.

Choice C rationale:

This statement is also accurate. If a baby is born too soon after the mother receives IV opioids, there is a risk of respiratory depression.

This is because the opioids can cross the placenta and affect the baby's breathing. Healthcare providers are trained to manage this risk and will take appropriate measures to ensure the baby's well-being, such as providing respiratory support if needed.

Choice D rationale:

This statement is correct. IV opioids are primarily used to relieve pain during labor, not to decrease the frequency of contractions.

While they may have some mild effects on contraction strength or duration, their primary purpose is to provide pain relief. It's important for clients to understand this distinction so that they have realistic expectations about the medication's effects.