Author Question: A nurse recognizes that uterine hyperstimulation with oxytocin requires emergency interventions. ... (Read 50 times)

809779

  • Hero Member
  • *****
  • Posts: 579
A nurse recognizes that uterine hyperstimulation with oxytocin requires emergency interventions. What clinical cues would alert the nurse that the patient is experiencing uterine hyperstimulation? (Choose all that apply.)
 
  1. Uterine contractions lasting <90 seconds and occurring>2 minutes in frequency
  2. Uterine contractions lasting >90 seconds and occurring <2 minutes in frequency
  3. Uterine tone <20 mm hg
  4. Uterine tone >20 mm Hg
  5. Increased uterine activity accompanied by a nonreassuring FHR and pattern.

Question 2

Assessment of a woman's nutritional status includes a diet history, medication regimen, physical exam, and relevant laboratory tests. A maternity nurse making such an assessment should be aware that:
 
  1. oral contraceptive use may interfere with the absorption of iron.
  2. illnesses that created nutritional deficits such as PKU may require nutritional care before conception.
  3. the woman's socioeconomic status and educational level are not relevant to her examination; they belong to the social worker, if to anybody.
  4. the only nutrition-related laboratory testing needed by most pregnant women is for diabetes.



mbcrismon

  • Sr. Member
  • ****
  • Posts: 328
Answer to Question 1

2, 4, 5.
1. Incorrect. Uterine contractions that occur over 2 minutes apart and last less than 90 seconds are the expected goal of oxytocin induction.
2, 4, 5. Correct. Uterine contractions that are occurring less than 2 minutes apart and are lasting more than 90 seconds, a uterine tone of over 20 mm Hg, and a nonreassuring FHR and pattern are all indications of uterine hyperstimulation with oxytocin administration.
3. Incorrect. A uterine tone of less than 20 mm Hg is normal.

Answer to Question 2

2
1. Incorrect. Oral contraceptive use may interfere with the absorption of folic acid. Iron de-ficiency can appear if an IUD placement resulted in blood loss.
2. Correct. A registered dietitian can help with therapeutic diets.
3. Incorrect. A woman's finances impact her access to good nutrition; her education (or lack of) can influence the nurse's teaching decisions.
4. Incorrect. The nutrition-related lab testing usually needed is a screen for anemia.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Asthma-like symptoms were first recorded about 3,500 years ago in Egypt. The first manuscript specifically written about asthma was in the year 1190, describing a condition characterized by sudden breathlessness. The treatments listed in this manuscript include chicken soup, herbs, and sexual abstinence.

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

Did you know?

As of mid-2016, 18.2 million people were receiving advanced retroviral therapy (ART) worldwide. This represents between 43–50% of the 34–39.8 million people living with HIV.

Did you know?

The heart is located in the center of the chest, with part of it tipped slightly so that it taps against the left side of the chest.

For a complete list of videos, visit our video library