The nurse teaches the postpartum client about oxytocin (Pitocin). ...

[lilldybug07]

The nurse teaches the postpartum client about oxytocin (Pitocin). The nurse evaluates that learning has occurred when the client makes which statement?
 
  1. It will increase my uterine contractions.
  2. It will increase my volume of fluid loss.
  3. It will increase my vaginal muscle tone.
  4. It will increase my milk production.

Question 2

The client takes Ortho-Novum for 3 months and calls the clinic to report she is having vaginal bleeding. What is the best plan by the nurse at this time?
 
  1. Ask the client if she has been having sexual intercourse recently.
  2. Tell the client to go to the emergency department for medical treatment.
  3. Ask the client if she is bleeding between cycles or if this is her regular period.
  4. Tell the client not to worry if the bleeding resembles her monthly flow.

[britb2u]

Answer to Question 1

Correct Answer: 1
Rationale 1: Oxytocin (Pitocin), administered in the postpartum period, causes the smooth muscle of the uterus to contract.
Rationale 2: Oxytocin (Pitocin) does not promote fluid loss.
Rationale 3: Oxytocin (Pitocin) does not increase vaginal muscle tone.
Rationale 4: Oxytocin (Pitocin) will not increase milk production.

Answer to Question 2

Correct Answer: 3
Rationale 1: Sexual intercourse should not result in vaginal bleeding.
Rationale 2: There is no need for the client to go to the emergency department at this time.
Rationale 3: It is important to determine the nature of the oral contraceptive (OC) cycle to determine what type of vaginal bleeding is occurring.
Rationale 4: Telling the client not to worry is condescending; the nurse must collect more data.

[lilldybug07]

Thank you!

[britb2u]

Always glad to help...