Dosage Calculation RN Maternal Newborn Proctored Assessment 3.1
Dosage Calculation RN Maternal Newborn Proctored Assessment 3.1 ( 37 Questions)
1.A nurse is caring for a client who is postpartum and has a prescription for oxytocin 10 units IM one time only for the saturation of a perineal pad in 15 min or less. How should the nurse interpret this prescription?
This is incorrect because the prescription is for one time only, not for repeated doses. Giving the medication each time the client saturates the perineal pad within 15 min could cause uterine hyperstimulation, water intoxication, or hypotension
This is correct because the prescription is for one time only and the indication is saturation of a perineal pad in 15 min or less. This is a sign of postpartum hemorrhage, which is a common and potentially life-threatening complication of childbirth2. Oxytocin is a uterotonic agent that helps the uterus contract and reduce bleeding
This is incorrect because waiting 15 min to administer the medication after the client saturates a perineal pad could result in excessive blood loss and hypovolemic shock. The medication should be given as soon as possible after the indication is met.
This is incorrect because offering the medication now to prevent saturation of perineal pad is not the intended use of the prescription. The medication is for treatment, not prevention, of postpartum hemorrhage. Prophylactic oxytocin is usually given intravenously or intramuscularly during or immediately after the delivery of the placenta.
The correct answer is Choice B.
Choice A rationale: This is incorrect because the prescription is for one time only, not for repeated doses. Giving the medication each time the client saturates the perineal pad within 15 min could cause uterine hyperstimulation, water intoxication, or hypotension1.
Choice B rationale: This is correct because the prescription is for one time only and the indication is saturation of a perineal pad in 15 min or less. This is a sign of postpartum hemorrhage, which is a common and potentially life-threatening complication of childbirth2. Oxytocin is a uterotonic agent that helps the uterus contract and reduce bleeding3.
Choice C rationale: This is incorrect because waiting 15 min to administer the medication after the client saturates a perineal pad could result in excessive blood loss and hypovolemic shock. The medication should be given as soon as possible after the indication is met.
Choice D rationale: This is incorrect because offering the medication now to prevent saturation of perineal pad is not the intended use of the prescription. The medication is for treatment, not prevention, of postpartum hemorrhage. Prophylactic oxytocin is usually given intravenously or intramuscularly during or immediately after the delivery of the placenta.