Question

What is the most common complication of oxytocin augmentation or induction of labor? List three actions the nurse should take if such a complication occurs?

A) Postpartum hemorrhage; Actions: 1. Notify the healthcare provider, 2. Monitor vital signs, 3. Assist with fundal massage.

B) Uterine hyperstimulation; Actions: 1. Stop oxytocin infusion, 2. Change maternal position, 3. Administer oxygen.

C) Maternal hypertension; Actions: 1. Administer intravenous fluids, 2. Prepare for immediate delivery, 3. Apply cold compresses.

D) Placental abruption; Actions: 1. Prepare for emergency C-section, 2. Monitor fetal heart rate, 3. Encourage deep breathing exercises.

Answer 1

The most common complication of oxytocin augmentation or induction of labor is uterine hyperstimulation. If this complication occurs, the nurse should stop the oxytocin infusion, change the maternal position, and administer oxygen.

Step-by-step explanation:

The most common complication of oxytocin augmentation or induction of labor is uterine hyperstimulation or tachysystole. Uterine hyperstimulation occurs when the contractions become too frequent, intense, or prolonged. It can lead to decreased blood flow to the fetus and placenta, which can result in fetal distress or other complications.

If uterine hyperstimulation occurs, the nurse should take the following three actions:

1. Stop the oxytocin infusion, as this will help decrease the intensity and frequency of the contractions.
2. Change the maternal position, which can help relieve pressure on the uterus and decrease uterine contractions.
3. Administer oxygen, as adequate oxygenation is important for the well-being of the fetus.