More questions on this topic
More questions on this topic ( 15 Questions)
A patient’s umbilical cord prolapses during labor induction with oxytocin infusion.
The nurse immediately places her hand into the vagina and pushes up on the presenting part to relieve pressure on the cord until an emergency cesarean delivery can be performed.
What should be done with the oxytocin infusion?
Increasing the oxytocin infusion rate can increase the risk of cord prolapse and fetal hypoxia
Decreasing the oxytocin infusion rate may not be enough to prevent cord compression and fetal distress
Oxytocin infusion can cause uterine hyperstimulation, which can worsen the cord compression and compromise fetal oxygenation. Stopping the oxytocin infusion can reduce the frequency and intensity of contractions and relieve pressure on the cord.
Maintaining the oxytocin infusion rate can prolong the labor and increase the chance of fetal compromise
The correct answer is choice C. Stop it completely. This is because oxytocin infusion can cause uterine hyperstimulation, which can worsen the cord compression and compromise fetal oxygenation. Stopping the oxytocin infusion can reduce the frequency and intensity of contractions and relieve pressure on the cord.
Choice A is wrong because increasing the oxytocin infusion rate can increase the risk of cord prolapse and fetal hypoxia. Choice B is wrong because decreasing the oxytocin infusion rate may not be enough to prevent cord compression and fetal distress. Choice D is wrong because maintaining the oxytocin infusion rate can prolong the labor and increase the chance of fetal compromise.