A nurse is assessing a client who is gravida 2, para 1. The client is at 41 weeks of gestation and is receiving oxytocin for the augmentation of labor. The nurse should decrease the infusion rate for which of the following findings?
Contractions are strong to palpation.
Cervix is dilating at 1 cm every 4 hr.
Consistent contractions last 80 seconds.
Contractions occur every 90 seconds.
The Correct Answer is D
A. Strong contractions are expected with oxytocin augmentation and do not require a decrease in the infusion rate.
B. A cervical dilation rate of 1 cm every 4 hours is slow but does not indicate the need to decrease oxytocin.
C. Contractions lasting 80 seconds are prolonged but do not necessarily indicate hyperstimulation.
D. Contractions occurring every 90 seconds suggest uterine tachysystole, which can compromise fetal oxygenation and requires a decrease in the oxytocin infusion rate.
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Related Questions
Correct Answer is D
Explanation
A. Chondroitin and glucosamine are not typically used to treat depression.
B. While some supplements may support immune health, chondroitin and glucosamine are primarily used to support joint health, not immune function.
C. Chondroitin and glucosamine are not indicated for the prevention or treatment of prostate enlargement.
D. Chondroitin and glucosamine are commonly used supplements for managing symptoms of osteoarthritis and improving joint health by supporting cartilage repair and reducing
inflammation.
Correct Answer is C
Explanation
A. Rupturing the amniotic sac in the case of complete placenta previa can lead to significant bleeding and is contraindicated.
B. Pain medication may be administered if needed, but the priority is to address the placenta previa and potential complications.
C. Complete placenta previa at 36 weeks gestation with contractions and bleeding is a clear
indication for an emergency cesarean section to prevent maternal hemorrhage and fetal distress.
D. Performing a vaginal exam can increase the risk of bleeding and should be avoided in cases of placenta previa.
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