rationale ..seems wrong
- 0Feb 20 by bhallakishu. The nurse assesses a prolonged deceleration of the fetal heart rate while the client is receiving oxytocin IV to stimulate labor. The priority nursing intervention would be to
1. discontinue the infusion.
2. turn client to the left side.
3. change the fluids to LR.
4. increase the IV flow rate.
(1) correct–will decrease contractions and thus possibly remove uterine pressure to the fetus,
which is possibly cause of deceleration
(2) may help the deceleration, but is not a priority
(3) will have no influence on the fetal heart rate
(4) will have no influence on the fetal heart rate
- 3Feb 20 by AliceTroutQuote from Nikkinism70sThis maybe solid advice much of the time, but don't check your critical thinking at the door and automatically shoot for the positioning answer.I will say that in Ob we were taught to always reposition first..................
Many of my NCLEX resources had a variation of this question, and your clue here is a labor dystocia and running Pitocin. Since the Pit is a likely CAUSE for the dystocia, your priority intervention is to stop it.
Remember as you remember the reposition rule, in nursing you treat the underlying problem!
- 1Feb 20 by HorsebytesQuote from Nikkinism70sYes, I picked reposition too when I read the question.I will say that in Ob we were taught to always reposition first..................
I know that I have found several test answers that I don't agree with while doing "nclex" questions. I also have found totally conflicting answers to similar questions in different resources. It is frustrating sometimes.