The nurse is caring for a client whose labor is being augmented with oxytocin.He or she recognizes that the oxytocin should be discontinued immediately if there is evidence of:
A)Uterine contractions occurring every 8 to 10 minutes.
B)A fetal heart rate (FHR) of 180 with absence of variability.
C)The client's needing to void.
D)Rupture of the client's amniotic membranes.

Question

Quizplus · Accepted Answer

This FHR is nonreassuring.The oxytocin should be discontinued immediately,and the physician should be notified.The oxytocin should be discontinued if uterine hyperstimulation occurs.Uterine contractions that are occurring every 8 to 10 minutes do not qualify as hyperstimulation.The client's needing to void is not an indication to discontinue the oxytocin induction immediately or to call the physician.Unless a change occurs in the FHR pattern that is nonreassuring or the client experiences uterine hyperstimulation,the oxytocin does not need to be discontinued.The physician should be notified that the client's membranes have ruptured.

The Nurse Is Caring for a Client Whose Labor Is