The nurse is providing care to a term client in labor with hypotonic uterine contractions.
Which medical intervention does the nurse anticipate for this client?

Choice A rationale

Eclampsia involves seizures during pregnancy, which is not related to the changes in fetal heart rate seen here.

Choice B rationale

Umbilical cord prolapse is suggested by the sudden drop in fetal heart rate and variable decelerations following the amniotomy.

Choice C rationale

Placenta previa would present with painless bleeding and is usually diagnosed via ultrasound before labor begins, not through fetal heart rate monitoring.

Choice D rationale

Placental abruption typically presents with abdominal pain, uterine tenderness, and bleeding, not just changes in fetal heart rate and variability.

Choice A rationale

Amniotomy can be used for labor induction, but considering the client's Bishop score of 8 and the provider's recommendation, oxytocin may be more effective.

Choice B rationale

Oxytocin is a common and effective medication used to induce labor in clients with a favorable Bishop score. The client's cervical assessment suggests that she is a good candidate for oxytocin induction.

Choice C rationale

Cytotec (misoprostol) is used for cervical ripening and labor induction, but it is typically more appropriate for clients with an unfavorable Bishop score. The client's score indicates readiness for oxytocin.

Choice D rationale

Cervidil (dinoprostone) is another cervical ripening agent, but it is usually recommended for clients with a low Bishop score. The client’s score of 8 suggests that oxytocin induction is more suitable. .