A patient is admitted to the Labor & Delivery unit at 39 weeks.

She is 5/60/-2. After several hours she is at 5/70/-2. What can be given to help augment her labor?

Terbutaline.

Betamethasone.

Pitocin.

Magnesium Sulfate.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Terbutaline is a beta-agonist used to relax uterine muscles and delay preterm labor, not to augment labor in term pregnancies. It is not indicated for labor augmentation.
Choice B rationale
Betamethasone is a corticosteroid given to enhance fetal lung maturity in preterm pregnancies. It is not used to augment labor in term pregnancies, as it does not stimulate uterine contractions.
Choice C rationale
Pitocin (oxytocin) is a synthetic form of the natural hormone oxytocin. It stimulates uterine contractions and is commonly used to induce or augment labor in term pregnancies.
Choice D rationale
Magnesium sulfate is used primarily to prevent seizures in women with preeclampsia and to provide neuroprotection to preterm infants. It does not help augment labor contractions.

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Correct Answer is A

Explanation

Choice A rationale
Strong rectal pressure indicates advanced labor and potential imminent delivery, requiring immediate assessment of cervical dilation to ensure appropriate intervention and prevent complications.
Choice B rationale
Encouraging the patient to push without confirming cervical dilation could lead to cervical trauma or delivery complications if dilation is not complete, making this action inappropriate.
Choice C rationale
Notifying the MD without first assessing cervical dilation may cause unnecessary delay in intervention, potentially leading to complications during labor and delivery if the patient is fully dilated.
Choice D rationale
Offering the patient the bedpan when she feels strong rectal pressure can increase the risk of delivering the baby in an inappropriate setting, as the rectal pressure suggests imminent birth.

A. True B. False

Correct Answer is True

Explanation

Choice A rationale

Starting Pitocin at a low dose minimizes the risk of uterine hyperstimulation, which can cause fetal distress. Gradually increasing the dose allows careful monitoring of the mother’s and fetus’s responses for optimal contraction rate.

Choice B rationale

Administering Pitocin without starting at a low dose increases the risk of uterine tachysystole, leading to potential complications like uterine rupture or placental abruption. A gradual increase ensures safer labor progression.

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A patient is admitted to the Labor & Delivery unit at 39 weeks. She is 5/60/-2. After several hours she is at 5/70/-2. What can be given to help augment her labor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a laboring woman, G3 P2, who was examined 15 minutes ago. Her cervix was 8 cm dilated and 90% effaced. She now states she is feeling strong pressure in her rectum and wants to move her bowels. Which of the following action should the nurse perform first?

Correct Answer is A

Explanation

When administering Pitocin, you should start at a low dose and work your way up slowly to a dose that provides the best contraction rate.

Correct Answer is True

Explanation

Which of the following findings on fetal monitor tracing would be of most concern to the nurse?

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A patient is admitted to the Labor & Delivery unit at 39 weeks.

She is 5/60/-2. After several hours she is at 5/70/-2. What can be given to help augment her labor?