A nurse is caring for a client who is receiving oxytocin to induce labor.
The nurse should discontinue the oxytocin if which of the following occurs?

Six contractions in 10 min.

Contractions last 60 seconds.

Moderate variability of the fetal heart rate.

Nonrepetitive early decelerations.

Answer and Explanation

The Correct Answer is A

A nurse should discontinue oxytocin if the client experiences uterine hyperkinesia, which is deﬁned as more than 5 contractions in 10 minutes.

Choice B is not correct because contractions lasting 60 seconds are within the normal range.

Choice C is not correct because moderate variability of the fetal heart rate is a reassuring sign.

Choice D is not correct because nonrepetitive early decelerations are generally considered benign and do not require intervention.

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Correct Answer is A

Explanation

A. The nurse should monitor for chorioamnionitis, which is an infection of the amniotic sac and ﬂuid.

The other choices are not potential complications of gonorrhea:

B. Vaginal laceration during birth is not a complication of gonorrhea.

C. Oligohydramnios is not a complication of gonorrhea.

D. Excessive bleeding after birth is not a complication of gonorrhea.

A. "I will drink water before the test until my bladder feels full.” B. "I can't have anything to eat after midnight.” C. "I won't apply perfumed lotion to my abdomen before the test.” D. "I need to take a stool softener the night before the test.”

Correct Answer is A

Explanation

“I will drink water before the test until my bladder feels full.” Drinking water before an abdominal ultrasound is usually recommended to ensure a full bladder.

Choice B is incorrect because fasting for 8-12 hours before an abdominal ultrasound is usually recommended.

Choice C is incorrect because there is no information found that suggests avoiding perfumed lotion on the abdomen before an abdominal ultrasound.

Choice D is incorrect because there is no information found that suggests taking a stool softener before an abdominal ultrasound.

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A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in active labor and has gonorrhea. For which of the following potential complications of gonorrhea should the nurse monitor?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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A nurse is caring for a client who is receiving oxytocin to induce labor.
The nurse should discontinue the oxytocin if which of the following occurs?