The nurse is caring for a laboring woman who has been given oxytocin to induce labor. She is having contractions at an interval of every 2 minutes with 90 seconds duration in between. What would be the appropriate intervention in this situation?
A) Encourage the woman's coach to help her with breathing exercises.
B) Provide a back rub for the woman when the pain is at its greatest intensity.
C) Check her pain medication preferences and administer an analgesic, if indicated.
D) Report this emergency situation to the birth attendant.
D
Feedback:
The nurse should report immediately if contractions come more often than every 2 minutes or if each contraction lasts 90 seconds or longer, because there is not sufficient relaxation time for the fetus to be well oxygenated. This event is rare during normal labor, but must be carefully watched for when oxytocin is used for labor augmentation or induction.
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