A woman in her 39th week of pregnancy is admitted to the labor ...

[joe]

A woman in her 39th week of pregnancy is admitted to the labor and delivery unit where IV oxytocin is initiated. In this situation oxytocin is used for:
 
  a. stimulating uterine contraction to initiate or stimulate labor.
  b. controlling postpartum hemorrhage.
  c. increasing uterine tone during the postpartum period.
  d. inducing milk letdown.

Question 2

The nurse should provide self-care instructions for the client discharged on terbutaline via pump, including:
 
  a. the pump is programmed only to provide a basal rate of the medication.
  b. uterine contractions not controlled by two bolus doses within a four-hour period should be reported.
  c. bolus doses may be used as long as the pulse rate is more than 110 beats per minute.
  d. the medication is delivered into an intravenous access site.

[Alyson.hiatt@yahoo.com]

Answer to Question 1

ANS: A

Feedback
A Correct: The woman is full-term in her pregnancy, so oxytocin would be used to initiate or stimulate labor.
B Incorrect: It would be administered following delivery for this purpose.
C Incorrect: It would be administered following delivery for this purpose.
D Incorrect: Usually oxytocin produced in the body serves this purpose following delivery.

Answer to Question 2

ANS: B

Feedback
A Incorrect: The pump also can be programmed for bolus dosing.
B Correct: This is appropriate instruction.
C Incorrect: The pulse rate should be less than 110 beats per minute.
D Incorrect: The medication is administered subcutaneously via the pump.

[joe]

TY

[Alyson.hiatt@yahoo.com]

You're welcome