Pitocin is used for which of the following reasons in the L&D unit: (Select all that apply)

Augmentation of labor.

To increase prolactin receptor sites.

Induction of labor.

To decrease bleeding after delivery.

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale
Pitocin is used for augmentation of labor to increase uterine contractions' frequency and strength, enhancing labor progression in cases where labor is slow or stalled.
Choice B rationale
Pitocin does not increase prolactin receptor sites; instead, it focuses on enhancing uterine contractions during labor and addressing postpartum hemorrhage.
Choice C rationale
Pitocin is used for induction of labor to stimulate uterine contractions and initiate labor in women who need medical intervention for various reasons.
Choice D rationale
Pitocin helps decrease bleeding after delivery by promoting uterine contractions, which aid in reducing postpartum hemorrhage and expelling the placenta.

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Correct Answer is C

Explanation

Choice A rationale
Uterine contractions (powers) are essential for cervical dilation and fetal descent. They are involuntary smooth muscle contractions regulated by oxytocin and prostaglandins.
Choice B rationale
The fetus (passenger) significantly influences labor progression. Fetal size, position, and presentation affect the ease of passage through the birth canal.
Choice C rationale
Pressure is not considered one of the five Ps affecting labor and birth. The five Ps are powers, passenger, passageway, position, and psychological response.
Choice D rationale
The birth canal (passageway) includes the bony pelvis and soft tissues, which must adapt to allow the fetus to pass through during labor.

A. Limited perception of bladder fullness. B. Severe afterbirth headache. C. Hypotension. D. Increased respiratory rate.

Correct Answer is C

Explanation

Choice A rationale
Limited perception of bladder fullness can occur with epidural anesthesia, but it is not the most common or harmful complication. Patients should be monitored for urinary retention.
Choice B rationale
Severe afterbirth headache, or post-dural puncture headache, can result from epidural complications, but it is less common than hypotension.
Choice C rationale
Hypotension is the most common and potentially harmful complication of epidural anesthesia. It occurs due to sympathetic nerve blockade, leading to vasodilation and decreased cardiac output. Normal blood pressure ranges: systolic 90-120 mmHg, diastolic 60-80 mmHg.
Choice D rationale
Increased respiratory rate is not a common complication of epidural anesthesia. It is more likely related to anxiety or other factors and should be monitored accordingly.

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Pitocin is used for which of the following reasons in the L&D unit: (Select all that apply)

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Naxlex Comprehensive Predictor Exams

The factors that affect the process of labor and birth, known commonly as the five Ps, include all except:

Correct Answer is C

Explanation

The nurse should realize that the most common and potentially harmful maternal complication of epidural anesthesia is:

Correct Answer is C

Explanation

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?

The fetal monitor tracing shown is associated with:

The nurse is aware that labor and birth will most likely proceed normally when the fetal position is:

As relates to the structure and function of the placenta, the nurse should be aware that.

A multipara in latent phase of labor experiences spontaneous rupture of membranes while walking. Which is the first priority nursing action?

Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy. These include (select all that apply)

The slight overlapping of cranial bones or shaping of the fetal head during labor is called: