Occasionally a woman arrives at the intrapartum unit ready to ...

[Anajune7]

Occasionally a woman arrives at the intrapartum unit ready to give birth.
 
  Bearing down, grunting, or stating something like the baby's coming should direct the nurse to advise the client, Do not push, pant, and blow until the physician arrives. Is this statement true or false? Indicate whether the statement is true or false

Question 2

Your assessment of a client receiving oxytocin for labor reveals that the client is experiencing hyperstimulation. What actions should you take? (Select all that apply.)
 
  a. Turn off the oxytocin
  b. Have the client lay on her left side
  c. Place the client in a Fowler's position
  d. Increase the oxytocin drip
  e. Administer oxygen
  f. Notify the physician

[Natalie4ever]

Answer to Question 1

F
The nurse's priority is to prevent or reduce injury to mother and infant if delivery is
imminent. The emergency delivery kit should be obtained and preparation made for
immediate delivery. An abbreviated assessment should be completed in order to obtain the
mother's name, that of the support partner, and her care provider. Estimated date of
delivery, allergies, and prenatal care are also important information. If time allows,
maternal vital signs should be done, as well as a fetal assessment. After delivery, the
priority is to maintain the infant's airway and temperature.

Answer to Question 2

A, B, E, F
The nursing interventions for a client on oxytocin who is experiencing hyperstimulation would include turning off the oxytocin, having the client turn to her left side, administering oxygen, and notifying the physician. Increasing the oxytocin drip will only further aggravate the situation.