During labor induction with oxytocin, the fetal heart rate baseline is in the 140s with moderate variability.
Contraction frequency is assessed to be every 2 minutes with duration of 60 seconds, of moderate strength to palpation. Based on this assessment, the nurse should take which action?
A) Increase oxytocin infusion rate per physician's protocol.
B) Stop oxytocin infusion immediately.
C) Maintain present oxytocin infusion rate and continue to assess.
D) Decrease oxytocin infusion rate by 2 mU/min and report to physician.
Question 2
A patient, G1 P0, is admitted to the labor and delivery unit for induction of labor.
The following assessments were made on admission: Bishop score of 4, fetal heart rate 140s with good variability and no decelerations, TPR 98.6F, 88, 20, BP 120/80, negative obstetrical history. A prostaglandin suppository was inserted at that time. Which of the following findings, 6 hours after insertion, would warrant the removal of the Cervidil (dinoprostone)?
A) Bishop score of 5
B) Fetal heart of 152 bpm
C) Respiratory rate of 24 rpm
D) Contraction frequency of every 2 minutes
Heart
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Stages of labor.
Diagram of the heart showing normal conduction pathway.
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