A nurse is assessing a client who is in labor and has a history of uterine surgery.
The nurse observes that the client’s contractions are becoming more frequent and intense, but her cervix is not dilating.
The nurse suspects that the client has uterine tachysystole, which can lead to uterine rupture.
What is an appropriate nursing intervention for this client?
Administer oxytocin as prescribed to augment labor
Discontinue oxytocin infusion if it is being used
Encourage the client to push with each contraction
Apply fundal pressure to assist with fetal descent.
The Correct Answer is B
Uterine tachysystole is a condition where the uterus contracts too frequently and intensely, which can reduce blood flow and oxygen to the fetus and increase the risk of uterine rupture, especially in women who have had previous uterine surgery. Oxytocin is a hormone that stimulates uterine contractions and can cause or worsen uterine tachysystole. Therefore, if oxytocin is being used to augment labor, it should be discontinued immediately to prevent further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E"]
Explanation
The nurse should obtain informed consent from the client before performing a vacuum extraction, as it is an operative vaginal delivery that carries some risks for the mother and the baby.The nurse should also monitor the fetal heart rate continuously during the procedure, as vacuum extraction can cause fetal distress or scalp injuries.
Correct Answer is D
Explanation
This statement indicates a need for further teaching because drinking fluids does not prevent polyhydramnios, which is a condition of having too much amniotic fluid around the baby.In fact, drinking too much fluid may worsen the condition by increasing the blood volume and urine output of the mother.

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