A client is admitted to the labor and delivery unit in active labor. She has had no prenatal care but appears to be between 32 and 35 weeks’ gestation. History reveals that she’s gravida 5, para 1, abortus 3. She tells the nurse she thinks her friend gave her a cigarette containing crack cocaine. What should the nurse do next
A. Move the precipitant delivery cart to the labor room, and notify the neonatologist on call.
B. Teach the mother controlled breathing techniques.
C. Call a family member to come to the hospital.
D. Call the friend who gave the client the cigarette and find out exactly what the drug was.
参考答案：A
解析：Cocaine causes increased uterine contractility, preterm labor, and illness in babies born to addicted mothers. This client is in active labor, has a questionable history, and an undetermined length of gestation. The nurse should anticipate a quick delivery and a small, sick neonate. This client isn’t in a teachable frame of mind or situation. Calling a family member isn’t a priority when a high-risk birth is imminent. The client’s friend may be impossible to locate and may not know exactly what was in the cigarette.