How should the nurse respond to a client in active labor who is requesting medication while dilated to 9 cm?

The appropriate response to the client requesting medication while dilated to 9 cm is centered on the potential impact of medication on both the mother and the baby during the final stages of labor. At this advanced stage of dilation, administering certain medications, particularly systemic analgesics or narcotics, can pose risks such as respiratory depression in the newborn due to the medication crossing the placental barrier.

By stating that medication may interfere with the baby's first breaths, the response provides important information about the risk involved. It acknowledges the mother’s request while ensuring that she understands the implications for both her and her baby's health. Additionally, encouraging her to focus on breathing offers support and reinforces pain management techniques that can be beneficial during active labor.

This response balances the mother's need for comfort with the priority of ensuring the safest outcome for her baby, making it a logical and compassionate approach during this critical time in labor.