Uterine stimulants
Which of the following are indications for use for oxytocin? (Select all that apply.)
*Induce labor *Prevent postpartum hemorrhage *Increase the frequency of contractions *Augment labor
Which methods of administration are available with oxytocin? (Select all that apply.)
*Intravenous *Intramuscular
Which of the following are indications of use for dinoprostone? (Select all that apply.)
*Ripening of the cervix *Termination of pregnancy *Evacuation of fetal death before week 28 *Induction of labor
Select which indications of use are for dinoprostone and which are for oxytocin by placing a check in the correct column.
Dinoprostone -Induction of labor -Ripen the cervix -Termination of pregnancy Oxytocin -Induction of labor -Augment labor -Increase uterine contraction frequency -Prevent postpartum hemorrhage -Milk ejection in lactation
A patient in labor is receiving oxytocin infusion. Which assessment finding indicates the medication should be stopped?
Fetal heart rate of 90 bpm
Which of the following are expected findings after beginning oxytocin infusion? (Selected all that apply.)
*Increased strength of uterine contractions *Pain *Increased frequency of contractions
Which of the following are important safety considerations before administering any uterine stimulants? (Select all that apply.)
*Checking the fetal heart rate *Checking for fetal position *Checking uterine tone
Which common interventions are associated with oxytocin induction? (Select all that apply.)
*Checking vital signs *Monitoring for pain *Monitoring fetal heart rate
Which of the following findings would necessitate discontinuing oxytocin infusion? (Select all that apply.)
*Fetal heart rate abnormalities *Hypertension *Increased uterine tone
1._____________ is an expected result of dinoprostone administration.
1. Cramping
A patient is receiving oxytocin to induce labor. During administration of this medication, which action is appropriate?
Administering the medication with an IV infusion pump
There are important safety considerations for any uterine stimulant administered to induce or augment labor. Indicate which are important considerations before, during, or not applicable.
Before administration -Obtain vital signs -Check for fetal position -Palpate uterine tone -Check fetal heart rate During Administration -Obtain vital signs -Check fetal heart rate -Check fluid status -Palpate uterine tone -Check for pain Not applicable -History of abortion -Last bowel movement
How does oxytocin work?
Increasing the force of uterine contractions
Which situation is an indication for the use of oxytocin?
Postpartum hemorrhage
Which method of administration is prescribed most often for dinoprostone?
Vaginal
Drag the indications, route, and dosing to the corresponding medications.
dinoprostone -Used to ripen the cervix -One-time dose -Administered vaginally oxytocin -Used when contractions have not started or are not regular and strong, but cervix is favorable -Administered intravenously -Dosage is increased at regular intervals -Prevents postpartum hemorrhage
