A major responsibility of the nurse caring for a patient receiving oxytocin for labor induction is to

Monitor the patient's urinary output.

Monitor for tachysystole.

Monitor the patient's coping mechanisms for labor.

Monitor the IV site.

Answer and Explanation

The Correct Answer is B

A. Monitor the patient's urinary output. While monitoring urinary output is important, it is not the primary concern when administering oxytocin for labor induction.

B. Monitor for tachysystole. Tachysystole (defined as more than 5 contractions in 10 minutes) is a potential complication of oxytocin administration. It can lead to fetal distress, so it is crucial to monitor for this condition.

C. Monitor the patient's coping mechanisms for labor. Monitoring coping mechanisms is important, but it is not the primary responsibility when administering oxytocin.

D. Monitor the IV site. While the IV site should be monitored for complications such as infiltration, it is not the primary concern with oxytocin administration.

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Correct Answer is D

Explanation

A. First stage: The first stage of labor begins with the onset of regular contractions and ends with full dilation (10 cm) of the cervix.

B. Third stage: The third stage of labor begins after the birth of the baby and ends with the delivery of the placenta.

C. Fourth stage: The fourth stage of labor involves the immediate postpartum period after the placenta is delivered, focusing on stabilization of the mother.

D. Second Stage: The second stage of labor begins with complete cervical dilation (10 cm) and ends with the birth of the baby.

A. Place the client in a lateral position. B. Elevate the legs. C. Notify the provider. D. Increase IV fluid rate.

Correct Answer is A

Explanation

A. Place the client in a lateral position. Hypotension is a common side effect of epidural anesthesia. Positioning the client laterally helps improve venous return and cardiac output, which can help raise blood pressure.

B. Elevate the legs. Elevating the legs can help improve circulation, but it is not the first action. The priority is to position the client laterally to improve venous return.

C. Notify the provider. While the provider should be notified, the first action is to take immediate corrective measures to address hypotension.

D. Increase IV fluid rate. Increasing IV fluids helps combat hypotension, but it is secondary to positioning the client laterally to improve blood flow.

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A major responsibility of the nurse caring for a patient receiving oxytocin for labor induction is to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What stage of labor begins with full 10cm dilation of the cervix to the birth of the baby?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A laboring patient reports to the nurse that "I think my water just broke!" The first action the nurse should take is:

What is considered non-pharmacological pain management from the list below? (please select all that apply)

A nurse is assisting in the care of a client who is in the second stage of labor. Which of the following findings should the nurse report to the provider?

A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?

A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his head that crosses the suture line. The newborn's mother asks about the swelling on her newborn's head. Which of the following responses should the nurse make?

A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?

What stage of labor ends with the physiologic stabilization of the mother?

A nurse is assisting with performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie?