Maternity Nursing: Intrapartum Q 11

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A nurse is beginning to care for a client in labor. The physician has prescribed an IV infusion of Pitocin. The nurse ensures that which of the following is implemented before initiating the infusion?

  

     A. Placing the client on complete bed rest

     B. Continuous electronic fetal monitoring

     C. An IV infusion of antibiotics

     D. Placing a code cart at the client’s bedside

    

    

Correct Answer: B. Continuous electronic fetal monitoring

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Continuous electronic fetal monitoring should be implemented during an IV infusion of Pitocin. Continuous electronic fetal monitoring should be performed for a minimum of 20 minutes before starting oxytocin and should be continued until the baby is delivered.

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Option A: Complete bed rest is not a necessity before initiating Pitocin infusion. Pitocin is indicated for the initiation or improvement of uterine contractions, where this is desirable and considered suitable for reasons of fetal or maternal concern, in order to achieve vaginal delivery.

Option C: It is unnecessary to administer IV antibiotics before Pitocin infusion. Immediately administer broad-spectrum antibiotics only to patients with severe postabortion infection.

Option D: A code cart may be placed beside the client but in case of overdose, contact the Poison Control Center.

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