Antepartum & Intrap artum complications - Textbook Questions With Complete Solutions A nurse in the birthing unit is caring for a client following an amniotomy. What is an appr opriate nursing intervention? a. Assess cervical dilation every 2 hours. b. Monitor temperature every 2 hours. c. Increase the rate of the IV maintenance fluid. d. Replace expelled amniotic fluid every 1 -2 hours. hhCorrect Answers hhb. Monitor temperature e very 2 hours. REASON: : Due to an increased risk of infection, the nurse should monitor temperature every 2 hours following an amniotomy A nurse is caring for a client with an oxytocin infusion. What is the correct nursing action prior to increasing the oxytocin rate? a. Assess cervical dilation. b. Review the fetal monitor tracing. c. Evaluate the need for analgesia. d. Assess maternal temperature. hhCorrect Answers hhb. Review the fetal monitor tracing. REASON: : Assessing the fetal heart tracing is cru cial for establishing fetal well -being and contraction pattern before increasing the oxytocin rate is crucial when caring for a client with an oxytocin infusion. A nurse is planning an educational seminar on medical vs. complementary and alternative metho ds of cervical ripening. The nurse teaches that the medical method uses: a. Blue/black cohosh herbs. b. Misoprostol (Cytotec). c. Evening primrose oil. d. Sexual intercourse. hhCorrect Answers hhb. Misoprostol (Cytotec). REASON: Misoprostol (Cytotec) is used in the medical model of care for cervical ripening, whereas blue/black cohosh herbs, primrose oil, and sexual intercourse are considered complementary and alternative methods The nurse educator is creating an in -servi ce for student nurses who are completing their mother -baby clinical rotation. When discussing misoprostol (Cytotec), which of the following components is incorrect and should be omitted from the educational content? a. The initial dosage of misoprostol f or induction is 50 mcg. b. The safe dosing interval is 3 -6 hours. c. Pitocin should not be administered less than 4 hours after the last misoprostol dose. d. Misoprostol should only be administered where uterine activity can be monitored continuously if ne eded. hhCorrect Answers hhb. The safe dosing interval is 3 -6 hours.
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