{"id":140199,"date":"2024-09-18T17:55:15","date_gmt":"2024-09-18T17:55:15","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=140199"},"modified":"2024-09-18T17:55:17","modified_gmt":"2024-09-18T17:55:17","slug":"a-nurse-is-assessing-a-client-who-is-gravida-2-para-1","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/18\/a-nurse-is-assessing-a-client-who-is-gravida-2-para-1\/","title":{"rendered":"A nurse is assessing a client who is gravida 2, para 1"},"content":{"rendered":"\n<p>A nurse is assessing a client who is gravida 2, para 1. The client is at 41 weeks of gestation and is receiving oxytocin for the augmentation of labor. The nurse should decrease the infusion rate for which of the following findings?<\/p>\n\n\n\n<p>A.<br>Contractions are strong to palpation.<\/p>\n\n\n\n<p>B.<br>Cervix is dilating at 1 cm every 4 hr.<\/p>\n\n\n\n<p>C.<br>Consistent contractions last 80 seconds.<\/p>\n\n\n\n<p>D.<br>Contractions occur every 90 seconds.<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>D. Contractions occur every 90 seconds.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Explanation:<\/h3>\n\n\n\n<p>Oxytocin is a medication commonly used to augment or induce labor by stimulating uterine contractions. While oxytocin can be beneficial for speeding up labor, it must be carefully monitored to prevent complications, such as uterine hyperstimulation or fetal distress. The nurse must assess the frequency, duration, and intensity of contractions to ensure the safety of both the mother and fetus.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Contractions every 90 seconds (Answer D)<\/strong>: This indicates very frequent contractions, leaving minimal time for the uterus to rest between them. Ideally, contractions should occur every 2 to 3 minutes. If contractions are occurring more frequently (every 90 seconds), it increases the risk of uterine hyperstimulation (also known as tachysystole), which is defined as more than 5 contractions in 10 minutes. This can compromise uteroplacental blood flow, potentially leading to fetal hypoxia, as the baby has less time to recover between contractions. Thus, decreasing the oxytocin infusion is necessary to reduce contraction frequency and improve fetal oxygenation.<\/li>\n\n\n\n<li><strong>Contractions are strong to palpation (Answer A)<\/strong>: While strong contractions are expected as labor progresses, the strength alone doesn\u2019t warrant decreasing the oxytocin. Strong contractions, without excessive frequency, are typical in an advancing labor.<\/li>\n\n\n\n<li><strong>Cervix is dilating at 1 cm every 4 hours (Answer B)<\/strong>: This rate of dilation is relatively slow, especially for a client at 41 weeks with oxytocin augmentation. If anything, this may suggest a need to maintain or increase the oxytocin, rather than decrease it.<\/li>\n\n\n\n<li><strong>Consistent contractions lasting 80 seconds (Answer C)<\/strong>: A contraction duration of 60\u201390 seconds is generally considered normal. Thus, consistent 80-second contractions are within the acceptable range.<\/li>\n<\/ol>\n\n\n\n<p>In summary, contractions every 90 seconds are too frequent and require an adjustment to the oxytocin infusion to prevent complications like uterine hyperstimulation and fetal distress.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is assessing a client who is gravida 2, para 1. The client is at 41 weeks of gestation and is receiving oxytocin for the augmentation of labor. The nurse should decrease the infusion rate for which of the following findings? A.Contractions are strong to palpation. B.Cervix is dilating at 1 cm every 4 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-140199","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140199","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=140199"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140199\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=140199"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=140199"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=140199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}