A nurse is preparing to administer oxytocin to a client who has a previous cesarean delivery with a vertical uterine incision.
The nurse should be aware that this client has an increased risk for which of the following adverse effects?
Uterine atony.
Uterine inversion.
Uterine rupture.
Uterine infection.
The Correct Answer is C
Oxytocin is a hormone that stimulates uterine contractions and can be used to induce or augment labor. However, it also increases the risk of uterine rupture, especially in women who have a scarred uterus from a previous cesarean delivery with a vertical uterine incision. A vertical uterine incision is made in the contractile part of the uterus and is more likely to tear under stress than a low transverse incision, which is made in the lower segment of the uterus.
Normal ranges for oxytocin infusion during labor are 0.5 to 20 milliunits per minute, depending on the indication and maternal and fetal status. The infusion rate should be adjusted according to the frequency and strength of uterine contractions and the progress of cervical dilation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This indicates a positive outcome because meconium aspiration can cause respiratory distress and infection in newborns.Apgar scores are used to assess the health of newborns at 1 and 5 minutes after birth based on five criteria: activity, pulse, grimace, appearance, and respiration.A score of 7 to 10 is considered normal.
Correct Answer is D
Explanation
This is a sign of umbilical cord prolapse, which is a medical emergency that requires immediate delivery of the baby.The umbilical cord can become compressed and cut off oxygen and blood supply to the baby.
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