Question

A primigravida at 39 weeks' gestation is admitted to the high-risk unit with an acute infection and is to have labor induced. In what sequence should the nurse implement the practitioner's orders?

A. Initiate monitoring via an electronic fetal/maternal monitor
B. Start oxytocin (Pitocin) 30 units in 1000 mL of D5W per protocol
C. Call the anesthesia department to evaluate the client for an epidural
D. Give the client a B.gram loading dose of ampicillin (Omnipen) followed by 1 gram every 4 hours

Answer 1

The correct sequence to implement the practitioner's orders for labor induction in a primigravida at 39 weeks' gestation is to start with giving the client a loading dose of ampicillin, followed by initiating monitoring, starting oxytocin, and finally calling the anesthesia department to evaluate for an epidural.

Step-by-step explanation:

The correct sequence to implement the practitioner's orders in this case is:

1. Give the client a B.gram loading dose of ampicillin (Omnipen) followed by 1 gram every 4 hours: This should be the first step to provide the client with appropriate antibiotic treatment for the acute infection.
2. Initiate monitoring via an electronic fetal/maternal monitor: This is important to ensure the safety of both the mother and the baby during the labor induction process.
3. Start oxytocin (Pitocin) 30 units in 1000 mL of D5W per protocol: Oxytocin is used to induce and strengthen contractions during labor.
4. Call the anesthesia department to evaluate the client for an epidural: The evaluation for an epidural should happen after the other steps have been taken and the labor induction process is underway.