Describe fetal and maternal nursing assessments associated with oxytocin infusion. What are signs of problems?
Assess teh FHR every 15 min during 1st stage labor and every 5 min during 2nd stage.
Problems include tachycardia (>150 to 160 bpm) bradycardia (<110 to 120 bpm), late decelerations and reduced FHR variabiltiy.
Assess uterine activity for contractions that are too frequent or too long or a uterus that does not relax for at least 60 sec between contractions.
Blood pressure and pulse identify changes from the baseline; tempreture assessment identifies infection that may occur with ruptured membranes.
Intake and output, assessment for headache, blurred vision, behavioral changes, increased blood pressure and resp, decreased pulses, rales, wheezing and coughing identify possible water intoxication. Postpartum hemorrhage may occur if an overstimulated uterus cannot contract effectively