Question

30 minutes later, the monitor tracing reveals uterine irritability, but no contractions present. Perth healthcare provider ord , it is time to increase the rate of oxytocin. SELECT THE FIRST TWO NURSING ACTIONS IN THE ORDER THAT THEY SHOULD BE IMPLEMENTED:

a)Assess contraction pattern and palpate uterine resting tone .Validate contraction pattern per monitor tracing and determine if there is an indication to adjust oxytocin rate.
b)Assess fetal status .Fetal status must be reassuring to increase oxytocin rate.
c)Reassess maternal vital sign .Alteration in maternal vital signs can occur with increasing oxytocin dosages.
d)Increase oxytocin to 2 mu/minute per healthcare provider orderThe assessmentt indicates continued upward titration of oxytocin dosage per contraction stress test protocol and healthcare provider orders.
5Educate and reassure the clien t.Education allows fothe r planning and implementation of patient care.

Answer 1

The first two nursing actions before increasing oxytocin are to assess fetal status and to examine the contraction pattern and uterine tone. These steps ensure the safety and well-being of both the fetus and mother during labor induction.

Step-by-step explanation:

In a situation where there is uterine irritability but no contractions, and a healthcare provider has ordered an increase in the rate of oxytocin, the first two nursing actions to be implemented are:

1. Assess fetal status. The status of the fetus must be confirmed as reassuring before increasing the rate of oxytocin, as oxytocin can affect the intensity of contractions and potentially impact fetal wellbeing.
2. Assess contraction pattern and palpate uterine resting tone. It's important to validate the contraction pattern according to the monitor tracing and determine if there is indeed an indication to adjust the oxytocin rate. Increased sensitivity to oxytocin could lead to more intense contractions, so this assessment is critical.

The role of oxytocin in labor is critical as it is involved in a positive feedback loop that enhances the contraction of the uterus. Initially, uterine contractions are sporadic and relatively weaker, but as oxytocin stimulates the uterine muscles, contractions become more frequent and stronger, facilitating the progress of labor and delivery.