Author Question: In caring for a client who is receiving oxytocin to induce labor, the nurse should be alert to which ... (Read 92 times)

nautica902 · **on:** Jun 27, 2018

In caring for a client who is receiving oxytocin to induce labor, the nurse should be alert to which complication?

a. Hypotension and diuresis
b. Fetal tachycardia and acidosis
c. Elevated blood pressure and fetal distress
d. Prolonged third stage of labor

Question 2

At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The apical heart rate is 110 bpm, and the infant is crying vigorously with the limbs flexed. The infant's trunk is pink, but the hands and feet are blue.

What is the Apgar score for this infant? a. 7
b. 8
c. 9
d. 10

cici · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
An adverse effect of Pitocin is the presence of hypertonic contractions that result in decreased maternal hypoperfusion and dehydration. Although hypertension is an adverse effect of Pitocin, fetal distress occurs after as a result of maternal hypoperfusion and dehydration. As proactive practitioners, nurses want to assess the earliest possible manifestations of adverse effects of hypotension and diuresis. Oxytocin can cause hyperstimulation of the uterus leading to ineffective contractions during the first and second stages of labor, but not the third stage.

Answer to Question 2

C
Feedback
A The baby received 2 points for each of the categories except color. Since the
infant's hands and feet were blue this category is given a grade of 1
B The baby received 2 points for each of the categories except color. Since the
infant's hands and feet were blue this category is given a grade of 1
C The Apgar score is 9 because 1 point is deducted from the total score of 10 for
the infant's blue hands and feet.
D The infant had 1 point deducted because of the blue color of the hands and feet.