When caring for the client prescribed oxytocin for induction of labor, the nurse should:
a. instruct the client that oxytocin can be dangerous to her baby.
b. initiate fetal monitoring prior to oxytocin induction.
c. stop the infusion if the fetal heart rate is 150 beats/minute.
d. prepare to administer the oxytocin intravaginally.
ANS: B
Feedback
A Incorrect: This is not an appropriate response by the nurse.
B Correct: Because of the potential risks induced contractions may present to the fetus, fetal monitoring should be initiated prior to oxytocin administration.
C Incorrect: This is within defined limits for fetal heart rate (120-160 beats/min).
D Incorrect: Oxytocin is administered IV for labor induction.
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