A primigravida client at about 35 weeks’ gestation in active labor has had no prenatal care and admits to cocaine use during the pregnancy. Which of the following persons must the nurse notify?
A. Nursing unit manager so appropriate agencies can be notified
B. Head of the hospital’s security department
C. Chaplain in case the fetus dies in utero
D. Physician who will attend the delivery of the infant
The fetus of a cocaine-addicted mother is at risk for hypoxia, meconium aspiration, and intrauterine growth retardation (IUGR). Therefore, the nurse must notify the physician of the client’s cocaine use because this knowledge will influence the care of the client and neonate. The information is used only in relation to the client’s care.