Author Question: A pregnant patient is prescribed to have labor induced with oxytocin. How should the nurse prepare ... (Read 69 times)

Mr3Hunna · **on:** Jun 27, 2018

A pregnant patient is prescribed to have labor induced with oxytocin. How should the nurse prepare to administer this medication?

A) In a 20-cc bolus of saline
B) In two divided intramuscular sites
C) Diluted as a piggyback infusion
D) Diluted in the main intravenous fluid

Question 2

A nurse is teaching a postpartum client and her partner about caring for their newborn's umbilical cord site. Which statement by the parents indicates a need for additional teaching?

A) We can put him in the tub to bathe him once the cord falls off and is healed..
B) The cord stump should change from brown to yellow..
C) Exposing the stump to the air helps it to dry..
D) We need to call the doctor if we notice a funny odor..

macmac · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback:
When administering oxytocin, the infusion should be piggybacked to a maintenance IV solution and add the piggyback to the main infusion at the port closest to the patient. If the oxytocin needs to be discontinued quickly during the induction, little solution remains in the tubing to still infuse, and the main IV line can still be maintained. Oxytocin is not administered as an intravenous bolus, as intramuscular injections, nor is it diluted in the main intravenous fluid.

Answer to Question 2

B
Feedback:
The cord stump should change color from yellow to brown or black. Therefore the parents need additional teaching if they state the color changes from brown to yellow. Tub baths are avoided until the cord has fallen off and the area is healed. Exposing the stump to the air helps it to dry. The parents should notify their primary care provider if there is any bleeding, redness, drainage, or foul odor from the cord stump.