A patient who is having her sixth child has gone beyond term, and her labor is being induced with oxytocin (Pitocin). The patient is having increased frequency, duration, and intensity of contractions
The nurse will interrupt the oxytocin infusion if what occurs?
a. Contractions occur every 2 to 3 minutes.
b. Individual contractions last 2 minutes.
c. Mild to moderate pain occurs with uterine contractions.
d. Resting intrauterine pressure is greater than 10 to 15 mm Hg.
ANS: B
Induction of labor in patients of high parity (five or more pregnancies) carries a high risk of uterine rupture, and oxytocin should be used with great caution. Oxytocin infusions should be interrupted for contractions that last longer than 1 minute. Contractions that occur more often than every 2 to 3 minutes are a concern. Mild to moderate pain is normal with contractions. A resting intrauterine pressure greater than 15 to 20 mm Hg is a concern.
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