A pregnant client undergoing labor induction is receiving an ...

[torybrooks]

A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which of the following findings would require immediate intervention?
 
  A) Fetal heart rate of 150 beats/minute
  B) Contractions every 2 minutes, lasting 45 seconds
  C) Uterine resting tone of 14 mm Hg
  D) Urine output of 20 mL/hour

Question 2

The nurse is preparing teaching for the parents of a newborn with a newly placed ventriculoperitonea l shunt. What should the nurse include in this teaching? (Select all that apply.)
 
  A) Restrict the intake of fruit, vegetables, and fluid.
  B) Expect to have the shunt replaced as the child grows.
  C) Examine the site every day for signs of swelling or redness.
  D) Notify the health care provider if the child develops a fever.
  E) Observe the child for signs of increased intracranial pressure.

[kilada]

Answer to Question 1

D
Feedback:
Oxytocin can lead to water intoxication. Therefore, a urine output of 20 mL/hour is below acceptable limits of 30 mL/hour and requires intervention. FHR of 150 beats/minute is within the accepted range of 120 to 160 beats/minute. Contractions should occur every 2 to 3 minutes, lasting 40 to 60 seconds. A uterine resting tone greater than 20 mm Hg would require intervention.

Answer to Question 2

B, C, D, E
Feedback:
: Teaching for the parents of a child with a newly placed ventriculoperitonea l shunt should include encouraging the intake of fruit, vegetables, and fluid to prevent constipation; expecting to have the shunt replaced as the child grows; examining the site every day for signs of redness or swelling; notifying the health care provider if the child develops a fever; and observing for signs of increased intracranial pressure.

[torybrooks]

Gracias!

[recede]

TYSM