The priority nursing care associated with an oxytocin (Pitocin) ...

[future617RT]

The priority nursing care associated with an oxytocin (Pitocin) infusion is
 
  a. Measuring urinary output
  b. Increasing infusion rate every 30 minutes
  c. Monitoring uterine response
  d. Evaluating cervical dilation

Question 2

For which patient should the oxytocin (Pitocin) infusion be discontinued immediately?
 
  a. A woman in active labor with contractions every 31 minutes lasting 60 seconds
  each
  b. A woman in transition with contractions every 2 minutes lasting 90 seconds each
  c. A woman in active labor with contractions every 2 to 3 minutes lasting 70 to 80
  seconds each
  d. A woman in early labor with contractions every 5 minutes lasting 40 seconds each

[flexer1n1]

Answer to Question 1

C
Feedback
A Monitoring urinary output is important with Pitocin, but not the top priority.
B The infusion rate may be increased, but only after proper assessment that it is
appropriate.
C Because of the risk of hyperstimulation, which could result in decreased
placental perfusion and uterine rupture, the nurse's priority intervention is
monitoring uterine response.
D Monitoring labor progression is important, but not the top priority.

Answer to Question 2

B
Feedback
A Oxytocin may assist this woman's contractions to become closer and more
efficient.
B This woman's contraction pattern represents hyperstimulation, and inadequate
resting time occurs between contractions to allow placental perfusion.
C There is an appropriate resting period between this woman's contractions.
D There is an appropriate resting period between this woman's contractions for her
stage of labor.