Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A client in labor is given oxytocin as an artificial way to induce labor. The midwife reviews the fetal heart monitor tracing and notes that the contractions occur every 3 minutes, lasting about 60 seconds per contraction. Which of the following is the next action of the midwife?
  1. Discontinue oxytocin.
  2. Increase oxytocin’s rate of infusion.
  3. Administer oxygen through face mask.
  4. Document that the ideal contraction pattern is achieved.
Explanation
Answer: D - The next action of the n midwife urse is to document that the ideal contraction pattern is achieved. Oxytocin may be discontinued if the frequency of contraction occurs in less than 2 minutes or if the duration of each contraction is more than 90 seconds. If fetal distress is suspected, the oxytocin must be discontinued.
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