MB Chapter 17-Labor and Birth Complications

MB Chapter 17-Labor and Birth ComplicationsMB Chapter 17, Labor and Birth Complications A nurse is caring for a woman whose labor is being augmented with oxytocin. The nurse recognizes that the oxytocin should be discontinued immediately if there is evidence of what? Uterine contractions occurring every 8 to 10 minutes A fetal heart rate (FHR) of 180 beats/min with absence of variability The woman needing to void Rupture of the woman's amniotic membranes Rationale An FHR of 180 beats/min with absence of variability is non-reassuring. The oxytocin should be discontinued immediately and the health care provider should be notified. The oxytocin should be discontinued if uterine hyperstimulation occurs. Uterine contractions that occur every 8 to 10 minutes do not qualify as hyperstimulation. The woman needing to void is not an indication to discontinue the oxytocin induction immediately or to call the health care provider. Unless a change occurs in the FHR pattern that is nonreassuring or the woman experiences uterine hyperstimulation, the oxytocin does not need to be discontinued. The health care provider should be notified that the woman's membranes have ruptured. p. 442 During a prenatal visit, the nurse finds that the patient has symptoms of preterm labor. Which nursing intervention is to be followed to prevent thrombophlebitis? Teach gentle lower extremity exercises to the patient. Suggest that the patient lie in the supine position in bed. Provide a calm and soothing atmosphere to the patient. Give tocolytic medications as per the health care provider's prescription. Rationale The health care provider may recommend reduced activity or complete bed rest for the patient experiencing preterm labor, depending on the severity of the symptoms. As a result, the patient may be at risk for thrombophlebitis due to limited activity. The nurse should teach the patient how to perform gentle exercises of the lower extremities. Suggesting that the patient lie in the supine position may cause supine hypotension. Instead, the nurse can suggest that the patient lie in a side-lying position to help enhance placental perfusion. The nurse can provide a calm and soothing atmosphere to facilitate coping so as to reduce the patient's anxiety, but this intervention does not prevent thrombophlebitis. Tocolytic