Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no progress in the last 4 hours. Uterine contractions decreasing in frequency and intensity. Marked molding of…

The correct answer is D. Question the order. (A) Oxytocin stimulates labor but should not be used until CPD (cephalopelvic disproportion) is ruled out in a dysfunctional labor. (B) This answer is the correct protocol for oxytocin administration, but the medication should not be used until CPD is ruled out. (C) This answer…

Safe and Effective Care Environment: Management of Care

Question

Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no progress in the last 4 hours. Uterine contractions decreasing in frequency and intensity. Marked molding of the presenting fetal head is described. The physician orders, "Begin oxytocin induction at 1 mU/min." The nurse should:

Options

ABegin the oxytocin induction as ordered
BIncrease the dosage by 2 mU/min increments at 15-minute intervals
CMaintain the dosage when duration of contractions is 40-60 seconds and frequency is at 212-4
DQuestion the order

How the community answered

(41 responses)

A
7% (3)
B
15% (6)
C
22% (9)
D
56% (23)

Explanation

(A) Oxytocin stimulates labor but should not be used until CPD (cephalopelvic disproportion) is ruled out in a dysfunctional labor. (B) This answer is the correct protocol for oxytocin administration, but the medication should not be used until CPD is ruled out. (C) This answer is the correct manner to interpret effective stimulation, but oxytocin should not be used until CPD is ruled out. (D) This answer is the appropriate nursing action because the scenario presents adysfunctional labor pattern that may be caused by CPD. Oxytocin administration is contraindicated in CPD.

Topics

#oxytocin safety#cephalopelvic disproportion#labor dystocia#clinical judgment

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