A woman is receiving oxytocin (Pitocin) via infusion. The nurse ...

[justinmsk]

A woman is receiving oxytocin (Pitocin) via infusion. The nurse assesses the following: uterine contractions lasting 100 seconds every 1.5 minutes, uterine resting tone 36 mm Hg, baseline fetal heart rate (FHR) 108 beats/minute with absent variability.
 
  What action by the nurse takes priority?
  A.
  Document the findings.
  B.
  Notify the provider.
  C.
  Reassess the FHR in 10 minutes
  D.
  Stop the infusion.

Question 2

A nurse has administered dinoprostone gel (Prepidil) to a nulliparous woman whose Bishop score is 5. Fifteen minutes later the patient complains of intense itching, vaginal burning, and shortness of breath. What medication does the nurse anticipate giving
 
  A.
  Epinephrine (Adrenalin)
  B.
  Hydromorphone (Dilaudid)
  C.
  Misoprostol (Cytotec)
  D.
  Terbutaline (no brand name)

[taylorsonier]

Answer to Question 1

ANS: D
Oxytocin can cause uterine tachysystole, and the nurse's assessments are consistent with this condition. The priority action by the nurse is to stop the infusion. The nurse should notify the provider. Documentation should be thorough. Reassessment should be driven by a written protocol.

Answer to Question 2

ANS: D
In case of adverse reactions to dinoprostone, the nurse will administer terbutaline, 0.25 mg intravenously or subcutaneously. The other medications are not indicated.

[justinmsk]

Excellent

[flexer1n1]

Gracias!