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Author Question: Ergot derivatives are not generally used for inducing labor because they: a. only stimulate ... (Read 33 times)

Starlight

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Ergot derivatives are not generally used for inducing labor because they:
 
  a. only stimulate uterine contractions during the second trimester.
  b. produce powerful uterine contractions.
  c. tend to increase breast engorgement.
  d. cause hypotension in many clients.

Question 2

When caring for a client receiving IV oxytocin infusion, the nurse observes the client has developed a pounding pulse, increased blood pressure, and moist respirations. The nurse prepares to:
 
  a. increase the oxytocin infusion rate. c. lower the head of the client's bed.
  b. discontinue the client's IV access. d. decrease the oxytocin infusion rate.



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kingdude89

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Answer to Question 1

ANS: B

Feedback
A Incorrect: This is a false statement.
B Correct: Because of the powerful and sustained uterine contractions they produce, they are effective in controlling postpartum bleeding. In labor, these types of contractions could lead to uterine rupture.
C Incorrect: This is not an appropriate rationale.
D Incorrect: They more likely would cause hypertension.

Answer to Question 2

ANS: D

Feedback
A Incorrect: This would make the client's condition worse, creating an environment for hypertensive crisis, fetal arrhythmia, or death.
B Incorrect: Even if the IV infusion is discontinued, the IV access must be maintained for potential emergency care.
C Incorrect: This will worsen both the hypertension and the difficulty breathing.
D Correct: These are manifestations of water intoxication or circulatory overload, requiring the rate of IV oxytocin to be decreased.



Starlight

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Both answers were spot on, thank you once again



kingdude89

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