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
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.
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