A gravida 3, para 2 woman at 41 weeks' gestation is 1 cm dilated and 60% effaced. She has not ruptured her membranes, has not passed a mucus plug, and is not experiencing labor
It is decided that if she does not experience labor by the next day, she will be induced with oxytocin (Pitocin). Which actions are key to the nursing care of a woman experiencing induction? (Select all that apply.)
a. Provide an explanation of all procedures to the client.
b. Monitor mother's vital signs throughout the procedure.
c. Insert and monitor arterial blood pressure via an inserted arterial line.
d. Continuously monitor fetal toleration to the induction.
e. Insert a Foley catheter and monitor hourly urine outputs.
f. Assess for obstetric complications and notify physician as warranted.
g. Monitor the intravenous infusion of medication.
h. Continue to increase dosage, titrating until fetal distress is marked.
ANS: A, B, D, F, G
An arterial line and Foley catheter are not needed. The dosage is set according to uterine contractions, not fetal responses.
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