Final Answer:
The correct indications for administering Oxytocin to a postpartum client are d. increased afterbirth cramping and c. Excess Vaginal Bleeding.
Thus option c,d is correct.
Step-by-step explanation:
Oxytocin is commonly administered postpartum to help prevent excessive bleeding and promote uterine contractions. Increased afterbirth cramping (d) indicates the need for uterine contractions to expel the placenta, reducing the risk of postpartum hemorrhage. Excess vaginal bleeding (c) is another sign that Oxytocin may be necessary to aid in controlling bleeding by promoting uterine muscle contraction.
Increased afterbirth cramping (d) is a crucial indication for Oxytocin administration. These cramps result from the uterus contracting to expel the placenta and reduce bleeding. Excessive bleeding (c) suggests a lack of effective uterine contractions to control bleeding, making Oxytocin necessary to stimulate these contractions. Conversely, a flaccid uterus (a) or cervical laceration (b) would not typically be indications for Oxytocin; a flaccid uterus suggests inadequate contractions, while a cervical laceration requires medical intervention beyond Oxytocin. An increased maternal temperature (e) might indicate infection rather than a need for Oxytocin administration in this context.
Administering Oxytocin is carefully considered based on specific postpartum signs. These indications ensure the medication's appropriate use to support uterine contractions, control bleeding, and prevent complications like postpartum hemorrhage. The decision to administer Oxytocin should align with the client's clinical presentation and careful assessment by the healthcare provider to optimize maternal outcomes.
Therefore option c,d is correct.