Which event indicates a complication of an external version? ...

[sarasara]

Which event indicates a complication of an external version?
 
  a. Maternal pulse rate of 100 bpm
  b. Fetus returning to the original position
  c. Increased maternal anxiety after the version
  d. Fetal bradycardia persisting 10 minutes after the version

Question 2

The priority nursing care associated with an oxytocin infusion is:
 
  a. measuring urinary output.
  b. evaluating cervical dilation.
  c. monitoring uterine response.
  d. increasing infusion rate every 30 minutes.

[jasonq]

Answer to Question 1

ANS: D
Fetal bradycardia after a version may indicate that the umbilical cord has become compressed, and the fetus is having hypoxia. There are few risks to the client during an external version. The fetus may return to the original position, but this is not a complication of the version. Anxiety may occur before the version but should decrease after the procedure is completed.

Answer to Question 2

ANS: 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. Monitoring urinary output is important with Pitocin but not the top priority. Monitoring labor progression is important but not the top priority. The infusion rate may be increased but only after proper assessment that it is appropriate.