Author Question: A client has been started on oxytocin (Pitocin) while in labor. Why is this medication being used ... (Read 33 times)

nautica902 · **on:** Jul 23, 2018

A client has been started on oxytocin (Pitocin) while in labor. Why is this medication being used for this client?

1. To prevent uterine rupture
2. To increase the volume of milk production
3. To cause milk to be ejected from the mammary glands
4. To cause the uterus to contract

Question 2

A client with dysfunctional uterine bleeding is prescribed progestin. How should the nurse instruct the client to take progestin?

1. Starting the day of the onset of menses and continuing for 28 days
2. Every other day for 3 months
3. Starting 5 days after the onset of menses and continuing for the next 20 days
4. Starting the last day of the menstrual period and continuing for 14 days

SAUXC · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

4

Rationale 1: Uterine rupture is a possible side effect of oxytocin.
Rationale 2: Oxytocin does not increase the volume of milk production.
Rationale 3: Oxytocin is not given for this reason during labor.
Rationale 4: As blood levels of oxytocin rise, the uterus is stimulated to contract, assisting in labor and the delivery of the fetus and the placenta.

Global Rationale: As blood levels of oxytocin rise, the uterus is stimulated to contract, assisting in labor and the delivery of the fetus and the placenta. Uterine rupture is a possible side effect of oxytocin. Oxytocin does not increase the volume of milk production. Oxytocin is not given for milk ejection from the mammary glands during labor.

Answer to Question 2

3

Rationale 1:Starting the day of the onset of menses and continuing for 28 days is incorrect. It should be taken starting 5 days after the onset of menses and continuing for the next 20 days.
Rationale 2:Every other day for 3 months is incorrect. It should be taken starting 5 days after the onset of menses and continuing for the next 20 days.
Rationale 3: Administration of a progestin in a pattern starting 5 days after the onset of menses and continuing for the next 20 days can sometimes help to establish a normal, monthly cyclic pattern.
Rationale 4:Starting the last day of the menstrual period and continuing for 14 days is incorrect. It should be taken starting 5 days after the onset of menses and continuing for the next 20 days.

Global Rationale: Administration of a progestin in a pattern starting 5 days after the onset of menses and continuing for the next 20 days can sometimes help to establish a normal, monthly cyclic pattern.