Home » NCLEX » NCLEX-RN » Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no progress in the last 4 hours.
Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no progress in the last 4 hours. Uterine contractions decreasing in frequency and intensity. Marked molding of the presenting fetal head is described. The physician orders, "Begin oxytocin induction at 1 mU/min." The nurse should:
A. Begin the oxytocin induction as ordered
B. Increase the dosage by 2 mU/min increments at15-minute intervals
C. Maintain the dosage when duration of contractions is 4060 seconds and frequency is at 21/2 4 minute intervals
D. Question the order
Correct Answer: D
Explanation/Reference:
Explanation:
(A) Oxytocin stimulates labor but should not be used until CPD (cephalopelvic disproportion) is ruled out in a dysfunctional labor. (B) This answer is the correct protocol for oxytocin administration, but the medication should not be used until CPD is ruled out. (C) This answer is the correct manner to interpret effective stimulation, but oxytocin should not be used until CPD is ruled out. (D) This answer is the appropriate nursing action because the scenario presents adysfunctional labor pattern that may be caused by CPD. Oxytocin administration is contraindicated in CPD.
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