The nurse is reviewing the labor and delivery plan for a pregnant client who is scheduled to receive ...

Correct Answer: 1
Rationale 1: Clients receiving oxytocin require continuous fetal and maternal monitoring, so the client needs to realize that walking around will not be possible.
Rationale 2: Doses of intravenous oxytocin are increased gradually, every 15 to 60 minutes, until a normal labor pattern is established.
Rationale 3: Vital signs, including blood pressure, should be checked at least every 15 minutes.
Rationale 4: A headache could be a sign of increased blood pressure, which might lead to a need to discontinue the oxytocin.
Global Rationale: Clients receiving oxytocin require continuous fetal and maternal monitoring, so the client needs to realize that walking around will not be possible. Doses of intravenous oxytocin are increased gradually, every 15 to 60 minutes, until a normal labor pattern is established. Vital signs, including blood pressure, should be checked at least every 15 minutes. A headache could be a sign of increased blood pressure, which might lead to a need to discontinue the oxytocin.