The nurse is caring for a patient whose labor is being augmented ...

[rmenurse]

The nurse is caring for a patient whose labor is being augmented with oxytocin. The nurse recognizes that the oxytocin should be discontinued immediately if there is evidence of:
 
  1. uterine contractions occurring every 8 to 10 minutes.
  2. an FHR of 180 with absence of variability.
  3. when the patient needs to void.
  4. when the patient's amniotic membranes rupture.

Question 2

Which of the following nutritional recommendations concerning fluids is accurate?
 
  1. A woman's daily intake should be 6 to 8 glasses of water, milk, and/or juices.
  2. Coffee should be limited to no more than 2 cups, but tea and cocoa can be con-sumed without worry.
  3. Only aspartame among the artificial sweeteners has not been associated with any maternity health concerns.
  4. Water with fluoride is especially encouraged because it reduces the child's risk of tooth decay.

[Qarqy]

Answer to Question 1

2
1. Incorrect. The oxytocin should be discontinued if uterine hyperstimulation occurs. Ute-rine contractions that are occurring every 8 to 10 minutes do not qualify as hyperstimulation.
2. Correct. This FHR is nonreassuring. The oxytocin should be immediately discontinued and the physician should be notified.
3. Incorrect. This is not an indication to immediately discontinue the oxytocin induction or to call the physician.
4. Incorrect. Unless there is a change in the FHR pattern that is nonreassuring or the patient experiences uterine hyperstimulation, the oxytocin does not need to be discontinued. The physician should be notified that the patient's membranes have ruptured.

Answer to Question 2

1
1. Correct. Six to eight glasses is still the standard, of the right fluids.
2. Incorrect. All caffeine containing beverages, including tea, cocoa, and some soft drinks should be avoided or drunk only in limited quantities.
3. Incorrect. Artificial sweeteners, including aspartame, have no ill effects on the normal mother or fetus. However, mothers with PKU should avoid aspartame.
4. Incorrect. There is no evidence that prenatal fluoride consumption reduces childhood tooth decay. It still helps the mother, though.

[rmenurse]

Excellent

[epscape]

TYSM