Obstetrics Questions
Explore questions in the Obstetrics category that you can ask Spark.E!
The nurse admins IV magnesium sulfate to a client admitted with serve preeclampsia. The nurse identifies which classification of the medication?-diuretic-oxytocic-antihypertensive agent-central nervous depressant
a pregnant woman with cervical stenosis has been admitted to the hospital for labor induction. Which med would the nurse anticipate on administering?-oxytocin-misoprostol-dinoprostone-ergot alkaloids
Which meds would the nurse id as being used to induce labor in pregnant clients?-oxytocin-ergonovine-carboprost-misoprostrost-dinostone
which hypothalamic hormone would the nurse id as helping treat postpartum uterine atony and hemorrhage?-oxytocin-indomethacin-dinoprostone-methylergonovine
which adverse effect would the nurse assess for after admin oxytocin to a client to stimulate labor?-edema-headache-confusion-blurred vision-uterine rupture
a client in her 36th week of gestation is admitted with vaginal bleeding, severe abdominal pain, a rigid fundus, and signs of impending shock. For which intervention would the nurse prepare?-a high forceps birth-an immediate Cesarean birth-insertion of an internal fetal monitor-admin of an oxytocin infusion
a pregnant client has labor pains: however, upon assessment, the nurse finds the cervix is not dilated. which med would the nurse id that could be used to promote labor?-oxytocin-nifedipine-dinoprostone-methylergonovine
a client gives birth to an 8 lbs baby. 10 minutes after birth, the placenta has not yet separated. Which is the nurses' priority action at this time?-apply fundal pressure-admin a second dose of oxytocin-cont. to assess the client for signs of separation-prepare a consent form for manual removal of the placenta
a client was admin oxytocin to induce labor but the client was not responsive to the treatment. Which oral uterine stimulant would the nurse id as the next choice in this condition?-misoprostol-mifepristone-dinoprostone-methylergonovine
which is the priority intervention for the nurse to perform on a client who is noted to have a relaxed and boggy uterus 1 hour after delivery?-massage the uterus until firm-check the client's blood pressure-obtain a prescription of oxytocin-notify the primary health care provider immediately
which is the nurse's responsibility when a client's labor is being stimulated with an oxytocin?-checking the fetal heart rate every 2 hours-flushing the IV tubing if the flow slows-stopping the infusion if contractions become hypertonic-decreasing the infusion rate if hypertonic contractions continue for 15 mins
which nursing intervention may help prevent cardiac decompensation in a laboring client with heart disease?-positioning her on the side with her head on a pillow-positioning her on the side with her shoulders elevated-admin the prescribed IV infusion of isotonic saline-admin the prescribed IV piggyback infusion of oxytocin
which are the actions of oxytocin?-promotes milk ejection during lactation-controls uterine bleeding after delivery-induces labor when uterine contractions are weak-prevents uterine fibrosis in women of reproductive age-prevents high-risk intrauterine fetal positions before delivery
A woman has been admin prostaglandin E2 as part of a treatment to induce labor. Which factor would the nurse use to determine whether an infusion with oxytocin would be continued?-an unripe cervix-1 contraction per minute-1 contraction every 3 minscervix dilation increasing 2 cm/hour
which action would the nurse take when a client's membranes rupture while her labor is being augmented with an oxytocin infusion and variable decelerations in the fetal heart rate occur?-change the client's position-take the client's blood pressure-stop the client's oxytocin infusion-prepare the client for an immediate birth
the nurse assesses a client in the labor room and finds the Bishop score for her cervical status is 6. Which med would be admin to this client?-oxytocin-dinoprostone-mifepristone-methylergonovine
which information regarding hormonal influences would the nurse understand when teaching a client about breastfeeding?-a high level of progesterone stimulates the secretion of oxytocin-a high level of estrogen stimulates the secretion of lactogenic hormones-milk secretion is controlled by oxytocin-suckling stimulates the pituitary gland to release oxytocin, which initiates the let-down reflex
a client wants to abort her pregancy after 4 months of gestation. For which oral medication would the nurse anticipate providing?-oxytocin-misoprostol-indomethacin-dinoprostone
The nurse will evaluate the client receiving oxytocin for which desired response?-limitation of the discomfort of the episiotomy-relaxation of the uterus us that it may be emptied-stimulation of the client's breasts so the breastfeeding may be started-prevention of the occurrence of profuse bleeding after placental separation
the electronic fetal monitor on a client receiving an infusion of oxytocin (Pitocin) displays contractions every 2 minutes lasting 95 seconds. Which is the appropriate nursing action-stop the oxytocin infusion-admin oxygen at 8-10 l per min -increase the mainline fluid delivery rate to 150 ml/hr-prepare the client for the insertion of an intrauterine pressure catheter.
