5. How long after the last dose of gel can the IV oxytocic medication be started to induce labor?
6. Why is there a waiting period before starting the oxytocin?
7 Further questioning reveals that TA has been ingesting a pregnancy tonic that includes herbal supplements since 36 weeks’ gestation.
List three concerns specific to pregnancy. It is 16 hours since TA first had the gel applied. Responding to her call light, the nurse finds TA in the bathroom, upset because she feels nauseated and is occasionally vomiting a little stomach fluid and complaining that her stool is watery. “Is something wrong?” TA asks.
8. Analysis of the data about TA’s symptoms supports what conclusion?
9. What nursing actions might be taken to support TA?
Answer: In the case of induced labor, the oxytocin is infused in a small amounts at first. Then the dose is slowly increased by 45 minute till the contraction occurs and becomes effective. Hence when given oxytocin IV, the contraction usually gets starts within 30 to 45 minutes.
5. How long after the last dose of gel can the IV oxytocic medication be started...
It is 16 hours since TA first had the gel applied. Responding to her call light, the nurse finds TA in the bathroom, upset because she feels nauseated and is occasionally vomiting a little stomach fluid and complaining that her stool is watery. “Is something wrong?” TA asks. What drugs should be nearby in the event of an emergency with the oxytocin? What information should be recorded during the infusion?
TA (gravida 3, para 0) is at 42 weeks’ gestation. At her prenatal visit, her health care provider notes signs and symptoms of pregnancy-induced hypertension and advises TA about a plan to induce labor after administration of prostaglandin gel. TA asks the nurse, “Can you help me understand all of this?” 1. What objective tool (scoring system) can be used to predict the extent to which TA’s cervix is “ripe” and therefore favorable for successful induction? TA’s health care provider...