Author Question: Which client would not be a good candidate for induction of labor using parenteral oxytocin ... (Read 86 times)

roselinechinyere27m · **on:** Jul 23, 2018

Which client would not be a good candidate for induction of labor using parenteral oxytocin (Pitocin)?

1. The client who is at 38 weeks' gestation and has gestational diabetes
2. The client at 37 weeks' gestation whose fetus has developed an abnormal heart rate
3. The client who is at 38 weeks' gestation and has developed signs of preeclampsia
4. The client at 39 weeks' gestation who wants the baby to have the same birthday as another family member

Question 2

Which statement by a client taking estrogen/progesterone combination hormone replacement therapy (HRT) requires immediate intervention by the nurse?

1. I have gained 6 pounds since I began taking this medication 3 months ago.
2. Sexual intercourse is still slightly uncomfortable, even though I have been on the medication for 2 months.
3. I got nauseated and had right shoulder pain after I ate fried fish last night.
4. My ankles are swollen when I go to bed at night.

Madisongo23 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Parenteral oxytocin is intended for induction of labor in cases of maternal diabetes.
Rationale 2: Parenteral oxytocin may be used to induce labor in clients who have a fetus that needs to be delivered.
Rationale 3: Parenteral oxytocin is intended for induction of labor in cases of maternal preeclampsia.
Rationale 4: Parenteral oxytocin should not be used for elective induction of labor.
Global Rationale: Parenteral oxytocin should not be used for elective induction of labor. It may be used in the case of maternal diabetes, fetal distress, and preeclampsia.

Answer to Question 2

Correct Answer: 3
Rationale 1: A small weight gain is normal with the use of HRT and does not require immediate intervention.
Rationale 2: HRT helps with vaginal atrophy, but a more helpful treatment may be the topical application of medication directly to the vagina.
Rationale 3: This client is demonstrating signs of gallbladder disease and needs immediate assessment. HRT can aggravate gallbladder disease.
Rationale 4: Fluid retention can occur with the use of HRT. It should be monitored, but it does not require immediate intervention.
Global Rationale: This client is demonstrating signs of gallbladder disease and needs immediate assessment. HRT can aggravate gallbladder disease. A small weight gain is normal with the use of HRT and does not require immediate intervention. HRT helps with vaginal atrophy, but a more helpful treatment may be the topical application of medication directly to the vagina. Fluid retention can occur with the use of HRT. It should be monitored, but it does not require immediate intervention.