Your client is in early labor,and you are discussing the pain relief options she is considering.She states that she wants an epidural "no matter what!" Your best response is:
A)"I'll make sure you get your epidural."
B)"You may only have an epidural if your doctor allows it."
C)"You may only have any epidural if you are going to deliver vaginally."
D)"The type of analgesia or anesthesia used is determined in part by the stage of your labor and the method of birth."

Question

Quizplus · Accepted Answer

To avoid suppression of the progress of labor,pharmacologic measures for pain relief generally are not implemented until labor has advanced to the active phase of the first stage and the cervix is dilated approximately 4 to 5 cm.A plan of care is developed for each woman to address her particular clinical and nursing problems.The nurse collaborates with the primary health care provider and the laboring woman in selecting features of care relevant to the woman and her family.The decision whether to use an epidural to relieve labor pain is multifactorial.The nurse should not make a blanket statement guaranteeing the client one pharmacologic option over another until a complete history and physical examination has been obtained.A physician's order is required for pharmacologic options for pain management.However,this is not the nurse's best response.An epidural is an effective pharmacologic pain management option for many laboring women.It can also be used for anesthesia control if the woman undergoes an operative delivery.

Your Client Is in Early Labor,and You Are Discussing the Pain