CNM Certified Nurse Midwife

Category - Intrapartum

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A client is given oxytocin for the induction of labor. The nurse midwife should monitor the client for which of the following side effects of oxytocin?

Vomiting
Increased urine outflow
Hypertension
Bradycardia

Explanation

Answer: A - The nurse midwife should monitor the client for signs of water intoxication, such as vomiting. Water intoxication is also manifested by headache and seizures. Oxytocin is an anti-diuretic hormone that causes decreased urine outflow and, consequently, fluid overload. The nurse midwife should closely monitor the client’s fluid intake and urine output, test the client’s urine specific gravity and limit the intravenous fluid being administered to 150 mL per hour.

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