« previous next »

Author Question: A client who is receiving oxytocin (Pitocin) infusion for the augmentation of labor is experiencing ... (Read 86 times)

berenicecastro

  • Hero Member
  • *****
  • Posts: 581
on: Jun 28, 2018
A client who is receiving oxytocin (Pitocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period. Which intervention would be a priority?
 
  a. Increase rate of Pitocin infusion to help spread out contraction pattern.
  b. Place oxygen on client at 8 to 10 L/min via face mask and turn client to left side.
  c. Stop Pitocin infusion.
  d. Call physician to obtain an order for initiation of magnesium sulfate.

Question 2

A vaginal exam for a laboring multipara client who is 42 weeks' gestation reveals the following information: 4 cm, minimal effacement, -2 station.
 
  Which clinical factors would affect the clinical management decision not to rupture membranes with an AmniHook?
 
  a. Vaginal dilation
  b. Client is a multipara
  c. Presenting part is at 2 station
  d. Gestational age


Hdosisshsbshs

  • Sr. Member
  • ****
  • Posts: 315
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
The client is exhibiting uterine tachysystole (uterine tetany). Priority intervention is to stop the infusion. The next course of action is to place oxygen on the client and reposition and increase the flow rate of the primary infusion. If the condition does not improve, the physician may be called for additional orders.

Answer to Question 2

ANS: C
The fact that the presenting part is not engaged causes concern because there is increased risk of a prolapsed cord on artificial rupture of membranes (AROM). Vaginal dilation is adequate for attempt to rupture membranes. The fact that a client is a multipara is not a significant reason to affect clinical decision making with regard to AROM. Postdates of pregnancy may warrant a more aggressive approach to speed the labor and birth process.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

The FDA recognizes 118 routes of administration.

Did you know?

Pubic lice (crabs) are usually spread through sexual contact. You cannot catch them by using a public toilet.

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?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

The stages of labor and delivery. (A) During the dilation stage the cervix thins and dilates to 10 c The stages of labor and delivery. (A) During the dilation stage the cervix thins and dilates to 10 c
The nurse applies a pulse oximeter sensor on the client’s finger. The nurse applies a pulse oximeter sensor on the client’s finger.
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.
Stages of labor. Stages of labor.
Overallocation of Labor to Farming When Farmworkers Are Paid Their Average Product Overallocation of Labor to Farming When Farmworkers Are Paid Their Average Product
Testing client’s ability to identify sharp sensations Testing client’s ability to identify sharp sensations
Video: Inflammation and Fever

For a complete list of videos, visit our video library