The nurse is caring for a client whose labor is being augmented with oxytocin. He or she recognizes that the oxytocin should be discontinued immediately if there is evidence of:
a. Uterine contractions occurring every 8 to 10 minutes.
b. A fetal heart rate (FHR) of 180 with absence of variability.
c. The client's needing to void.
d. Rupture of the client's amniotic membranes.
ANS: B
This FHR is nonreassuring. The oxytocin should be discontinued immediately, and the physician should be notified. The oxytocin should be discontinued if uterine hyperstimulation occurs. Uterine contractions that are occurring every 8 to 10 minutes do not qualify as hyperstimulation. The client's needing to void is not an indication to discontinue the oxytocin induction immediately or to call the physician. Unless a change occurs in the FHR pattern that is nonreassuring or the client experiences uterine hyperstimulation, the oxytocin does not need to be discontinued. The physician should be notified that the client's membranes have ruptured.
You might also like to view...
When caring for a client with a foreign object removed from the eye, the nurse is most correct to assess the eye protective functions of which structures? Select all that apply
A) Eyelids and lashes B) Aqueous humor C) Superior and inferior oblique muscles D) Conjunctiva E) Sclera F) Tears
A pregnant client asks the nurse, "What is this "knuckle test" that is supposed to tell whether my baby has a genetic problem?" What does the nurse correctly explain?
1. "In the first trimester, the nuchal translucency measurement is added to improve the detection rate for Down syndrome and trisomy 18." 2. "You will need to ask the physician for an explanation." 3. "It tests for hemophilia A or B." 4. "It tests for Duchenne muscular dystrophy."
A 30-year-old presents with hypertension, headache, tachycardia, impaired glucose tolerance, and weight loss. Which of the following diagnoses is supported by this symptomology?
a. Addison disease b. Conn disease c. Cushing disease d. Pheochromocytoma
A nurse researcher is developing a Likert scale. What techniques should the nurse employ in this development? Standard Text: Select all that apply
1. Limit the number of items to be scaled to 10. 2. Include at least 75% positive items. 3. Use no more than five responses for each item. 4. Score negative items in the same manner as positive items. 5. Be certain the meaning of the items is clear.