Comprehensive Nursing Pharmacology Q 222

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A nurse is assigned to a patient who is receiving oxytocin (Pitocin) to induce labor. The nurse terminates the oxycontin infusion if which of the following is noted on the assessment of the client?

  

     A. Nausea

     B. Fatigue

     C. Early decelerations of the fetal heart rate

     D. Uterine hyperstimulation

    

    

Correct Answer: D. Uterine hyperstimulation.

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Oxytocin is used to induce labor by stimulating uterine contraction. Oxytocin infusion must be discontinued if any signs of uterine stimulation are present.

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Options A & B: These are probably caused by the labor experience itself.

Option C: Early decelerations of the fetal heart rate are a reassuring sign, but it does not indicate fetal distress.

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