This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: When the client receiving an oxytocin (Pitocin) drip at 16 mU/min develops hypertonic stimulation, ... (Read 58 times)

newbem

  • Hero Member
  • *****
  • Posts: 579
on: Jun 28, 2018
When the client receiving an oxytocin (Pitocin) drip at 16 mU/min develops hypertonic stimulation, FHR 138 bpm with accelerations, and no decelerations, the nurse's best response would be to:
 
  a. stop the drip immediately.
  b. decrease the dose to 14 mU/min.
  c. reassess the patient at 5 minute intervals.
  d. reposition the patient to the left side-lying position.

Question 2

In which client situation could an amniotomy be safely performed?
 
  a. G1 P0, 38 weeks' gestation, 20 effaced, closed cervix
  b. G2 P1, 40 weeks' gestation, with fetus in a breech presentation
  c. G2 P0, 39 weeks' gestation, 70 effaced, cervix dilated 2 cm
  d. G3 P2, 41 weeks' gestation, early labor complicated with hydramnios


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

annierak

  • Sr. Member
  • ****
  • Posts: 340
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
In the absence of any adverse fetal response, hypertonic stimulation can be managed by reducing the infusion rate by 1 to 2 mU/min until uterine hyperstimulation is resolved. Stopping the drip immediately is not necessary unless hyperstimulation continues and adverse fetal responses occur. Reassessing and repositioning are of no benefit in this situation.

Answer to Question 2

ANS: C
The cervix must be partially open to allow the membranes to be ruptured. An amniotomy cannot be performed when the cervix is closed. Breech presentation would be delivered by cesarean section and membranes would be ruptured at birth. Rupturing the membranes in a client with hydramnios can result in abruptio placentae.


newbem

  • Member
  • Posts: 579
Reply 2 on: Jun 28, 2018
YES! Correct, THANKS for helping me on my review

samiel-sayed

  • Member
  • Posts: 337
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Famous people who died from poisoning or drug overdose include, Adolf Hitler, Socrates, Juan Ponce de Leon, Marilyn Monroe, Judy Garland, and John Belushi.

Did you know?

The ratio of hydrogen atoms to oxygen in water (H2O) is 2:1.

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

Patients who have been on total parenteral nutrition for more than a few days may need to have foods gradually reintroduced to give the digestive tract time to start working again.

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

Patient receiving ultrasound treatment to the left elbow. Patient receiving ultrasound treatment to the left elbow.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume. The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
A patient with Cushing’s syndrome (A) before and (B) after receiving treatment. Sharmyn McGraw A patient with Cushing’s syndrome (A) before and (B) after receiving treatment. Sharmyn McGraw
Testing client’s ability to identify dull sensation Testing client’s ability to identify dull sensation
The client is positioned for the examination The client is positioned for the examination
Depiction of cell transformations in isotonic, hypertonic, and hypotonic solutions Depiction of cell transformations in isotonic, hypertonic, and hypotonic solutions
Video: Causes of Angina

For a complete list of videos, visit our video library