How should the nurse set up oxytocin infusion

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Reference no: EM133917788

Question

Mocha is a gravida 3, para 2, at 41 weeks of gestation. She is scheduled for oxytocin induction of labor. Her first two pregnancies ended at 39-40 weeks, and the babies weighed 3996 g (8 lb., 13 oz) and 4394 g (9 lb., 11 oz) gestational diabetes has occurred during this and her second pregnancy.

1. What is the probable reason for Mocha's induction?

2. What tests might be performed before her induction and why?

Mocha's initial assessment are normal, and FHR is reassuring. She is having an occasional light contraction but no regular contractions.

4. How should the nurse set up the oxytocin infusion? What is the rationale for setting up the infusion in this manner?

5. Describe fetal and maternal nursing assessment associated with oxytocin infusion. What are signs of problems?

a. Fetal assessments

b. Maternal assessments

After 3 hours, Mocha's cervix is dilated to 3 cm, effacement is 80%, and the fetal station is -1. Contraction are every 4 to 5 minutes, last 45 seconds, and are of moderate intensity. The FHR is 132 to 148 bpm. The physician decides to perform an amniotomy

6. What nursing measures are appropriate before and after the amniotomy?

7. Should there be any change in the oxytocin infusion at this time? Why or why not?

Mocha's labor progresses, and she is having contractions about every 2 to 3 minutes, of 90 to 100 seconds' duration, and firm. FHR baseline on the monitor averages 130 to 140 bpm, with occasional accelerations to the 150-to 160 bpm range. She is dilated to 7 cm, effacement is 90%, and the fetal station is -1.

10. Should there be any change in her oxytocin infusion at this time? Why or why not?

11. Why is it important to place a small pillow under one hip if the mother must lie briefly on her back?

Despite adequate contractions, Mocha's cervical dilatation does not progress beyond 7 cm, and she will have a cesarean birth.

12. What nursing measures are appropriate for the planned birth?

Mocha's delivers a 4624-g (10-lb., 3-oz) girl by low transverse cesarean birth.

13. What nursing care is appropriate for Mocha while she is in the recovery phase?

Reference no: EM133917788

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