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When is it dangerous to administer butorphanol (Stadol), an agonist/antagonist narcotic?

a) When the cervix is dilated less than 5 cm
b) When the cervix is dilated more than 5 cm
c) During the second stage of labor
d) During the first stage of labor

1 Answer

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Final answer:

It is dangerous to administer butorphanol (Stadol) during the second stage of labor, as it can interfere with the mother's ability to push and the baby's respiratory function. Butorphanol is better used during the first stage of labor when the cervix is dilating up to about 5 cm.

Step-by-step explanation:

When considering the administration of butorphanol (Stadol), an agonist/antagonist narcotic, it is dangerous to administer it during the second stage of labor. The second stage of labor is when the cervix is dilated to about 10 cm, and the baby is being expelled from the uterus. At this stage of labor, medications like butorphanol can potentially interfere with the mother's ability to push and can affect the baby's respiratory function at birth.

The use of butorphanol during labor is usually determined carefully by healthcare providers to ensure the safety of both mother and child. It is best utilized during the first stage of labor, when the cervix is dilating, up until it reaches a dilation of approximately 5 cm. In this context, pain management is essential, and the risks versus benefits of such medication usage need to be meticulously evaluated.

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