What is the recommended position to improve fetal oxygenation when oxytocin-induced uterine tachysystole occurs?
Prone.
Left lateral.
Trendelenburg.
Supine.
The Correct Answer is B
Choice A reason: The prone position is not recommended in pregnancy. It does not improve uteroplacental blood flow and is impractical for a laboring client.
Choice B reason: The left lateral position is recommended because it relieves pressure from the gravid uterus on the inferior vena cava, improving maternal cardiac output and uteroplacental perfusion. This enhances fetal oxygenation during tachysystole.
Choice C reason: The Trendelenburg position is not appropriate. It increases maternal discomfort, does not improve placental perfusion, and may worsen respiratory compromise.
Choice D reason: The supine position is contraindicated in pregnancy because the uterus compresses the inferior vena cava, reducing venous return and cardiac output. This decreases uteroplacental blood flow and worsens fetal oxygenation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: A reassuring fetal heart tracing indicates normal fetal oxygenation and wellbeing. This is not a concern and requires no immediate intervention.
Choice B reason: A continuous contraction lasting 2 minutes is abnormal and dangerous. Normal contractions should last 45–90 seconds. Prolonged contractions reduce uteroplacental blood flow, increasing the risk of fetal hypoxia and uterine rupture. This finding requires immediate reporting and intervention.
Choice C reason: Contractions occurring every 4 minutes are within normal labor progression. This is not concerning unless accompanied by abnormal fetal heart patterns or maternal distress.
Choice D reason: A pink mucus plug is a normal sign of cervical change and impending labor. It is expected and not a cause for concern.
Correct Answer is C
Explanation
Choice A reason: Administering the highest effective dose is unsafe. Oxytocin must be titrated carefully because excessive dosing can cause uterine tachysystole, fetal distress, or uterine rupture.
Choice B reason: Intermittent monitoring is not appropriate with oxytocin infusion. Continuous monitoring is required because oxytocin increases risk of fetal compromise and uterine hyperstimulation.
Choice C reason: Administering the dose as ordered is the correct consideration. Nurses must follow prescribed protocols, titrate carefully, and monitor maternal-fetal response. This ensures safe induction while minimizing risks.
Choice D reason: Discontinuing oxytocin for reassuring fetal heart patterns is incorrect. Oxytocin should be discontinued if fetal heart patterns become non-reassuring or if uterine tachysystole occurs, not when patterns are reassuring.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.