Nokea
A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds. What is the nurse's initial action?
- A. Stop the oxytocin infusion.
- B. Continue the infusion and report the findings to the physician.
- C. Turn her on her left side and reassess the contractions.
- D. Administer oxygen by mask.
Correct Answer: A
Rationale: Oxytocin is discontinued if signs of fetal compromise or excessive uterine contractions occur.
You may also like to solve these questions
What chemical substance(s) produced in the body acts as a natural pain reliever?
- A. Endorphins
- B. Morphine
- C. Codeine
- D. Atropine
Correct Answer: A
Rationale: Endorphins are natural body substances that are similar to morphine and may explain why laboring women need smaller doses of analgesia.
The physician has ordered Fentanyl (Sublimaze) for a woman in labor and has asked the nurse to provide patient education. What will the nurse include in the educational plan? (Select all that apply.)
- A. Onset is slow.
- B. Duration is short.
- C. Administration is by mouth.
- D. No known side effects.
- E. It is not the same drug as sufentanil.
Correct Answer: B,E
Rationale: Fentanyl has a rapid onset and short duration of action. Fentanyl, sufentanil, and alfentanil are not the same drugs. Fentanyl can cause respiratory depression but less than meperidine. It is not administered by mouth.
What nursing assessment should be reported immediately after an amniotomy?
- A. Fetal heart rate is regular at 154 beats/minute.
- B. Amniotic fluid is clear with flecks of vernix.
- C. Amniotic fluid is watery and pale green.
- D. Maternal temperature is 37.8?°C.
Correct Answer: C
Rationale: Amniotic fluid should be clear. Green fluid indicates the fetus has passed meconium, which is associated with fetal compromise.
The nurse is caring for a laboring patient who is not reporting pain. What sign would alert the nurse of the need for pain relief?
- A. Frequently asking for ice chips
- B. Facial grimacing
- C. Changing positions in bed
- D. Covering her face with her hands
Correct Answer: B
Rationale: Facial grimacing may be an indicator of unexpressed pain.
Which narcotic antagonist is used to reverse narcotic-induced respiratory depression?
- A. Hydroxyzine (Vistaril)
- B. Phenobarbital
- C. Naloxone (Narcan)
- D. Nitrous oxide
Correct Answer: C
Rationale: Naloxone (Narcan) is used to reverse respiratory depression caused by narcotics.