It is 24 hours since Tina, from the scenario above, had the first gel instillation and 6 hours since her last insertion. A vaginal examination reveals her cervix is soft, 50% effaced, and 3 cm dilated, and the presenting part is at -1 station. Contractions are 5 minutes apart and mild, and the health care provider elects to begin an oxytocin infusion. 1. Tina asks how “a medicine running into my arm is able to make my uterus contract.” How would the nurse explain the mechanism of action of oxytocin? 2. Why is intravenous oxytocin infused through a secondary line attached as a piggyback to the primary line? At which port along the primary line is the piggyback inserted and why? 3. Why is oxytocin administered via infusion pump? What is the measurement for dosing? 4. The nurse would have which drugs readily available in the event of an emergency with the oxytocin? 5. What information should be recorded during the infusion? 6. While setting up the oxytocin infusion, a new nurse being precepted to labor and delivery asks what criteria are used to know when to slow the rate or stop the infusion?
[Verified Answer]: It is 24 hours since Tina, from the…
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