Question

A multiparous women at 38 weeks gestation with a history of rapid progression of labor is admitted for induction due to signs and symptoms of pregnancy induced hypertension (PIH). One hour after the oxytocin infusion is initiated she complains of a headache. Her contractions are occurring every 1-2 mins , lasting 60-75 seconds and a vaginal exam reveals that her cervix is 90?

1) Prepare for immediate delivery
2) Measure deep tendon reflexes
3) Discontinue the Pitocin infusion
4) Turn the client to her left side

Answer 1

In this case, a multiparous woman at 38 weeks gestation with a history of rapid labor progression is admitted for induction due to signs and symptoms of pregnancy-induced hypertension (PIH). One hour after the oxytocin infusion is initiated, she complains of a headache. The appropriate action would be to discontinue the Pitocin infusion.

Step-by-step explanation:

Headache is a potential symptom of preeclampsia, a type of pregnancy-induced hypertension (PIH). In this case, a multiparous woman at 38 weeks gestation with a history of rapid labor progression is admitted for induction due to signs and symptoms of PIH. One hour after the oxytocin infusion is initiated, she complains of a headache. Her contractions are occurring every 1-2 minutes, lasting 60-75 seconds, and a vaginal exam reveals that her cervix is 90% dilated. Based on this scenario, the appropriate action would be to discontinue the Pitocin infusion. Headaches in the context of PIH can be a sign of worsening symptoms, including maternal and fetal distress. Discontinuing the Pitocin infusion would be a precautionary measure to ensure the well-being of the mother and baby.