ATI RN VATI Maternal Newborn Proctored Exam
Select All That Apply
A nurse is preparing to administer an opioid analgesic to a client who is in active labor.Which of the following assessments should the nurse perform? (Select all that apply.)
Explanation & Rationale
Choice A rationaleBlood pressure should be assessed as opioid analgesics can cause hypotension, which can be detrimental to both mother and fetus during labor.Choice B rationaleFetal heart rate monitoring is essential as opioids can cross the placenta and potentially cause fetal bradycardia or distress, thus necessitating close monitoring.Choice C rationaleDeep tendon reflexes are not commonly affected by opioid analgesics and therefore are not a primary assessment when administering these medications during labor.Choice D rationaleBlood glucose levels are not typically influenced by opioid analgesics in the context of labor, so this is not a relevant assessment for this scenario.
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