A woman receiving oxytocin has seven uterine contractions in 10 minutes. The fetal heart rate is currently normal. Which action should the nurse take first?
Correct answer: B. Stop the oxytocin infusion temporarily
- A. Increase the oxytocin infusion rate
- B. Stop the oxytocin infusion temporarily
- C. Apply fundal pressure during contractions
- D. Ask the woman to push with each contraction
Explanation
Seven contractions in 10 minutes indicate uterine tachysystole, which can reduce placental blood flow. Oxytocin should be stopped temporarily and the woman assessed, rather than increased or replaced with fundal pressure.
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About Obstetric Emergencies
Acute threats to the mother or fetus include postpartum haemorrhage, eclampsia, shock, cord prolapse, shoulder dystocia, uterine rupture, amniotic fluid embolism and fetal distress. The subject covers rapid assessment, airway and circulation support, emergency medicines, positioning, preparation for assisted or operative birth, and coordinated referral.
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50 free Obstetric Emergencies MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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