A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan?

Limit IV intake to 4L per 24 hr.

Increase the infusion rate every 30 to 60 min.

Maintain the client in a supine position.

Titrate the infusion rate by 4 millunits/min. 

Answer:

Option 2.

Induction of labour is process of artificially stimulating the uterus to start labour.It is usually performed by administrating Oxytocin or prostaglandins to the pregnant women or by manually rupturing the amniotic fluid.

Oxytocin, a neurohormone originating in the hypothalamus and secreted by the posterior lobe of pituitary gland , represents the agent most frequently used for labour induction.A controlled intravenous infusion, with or without amniotomy, causes enough uterine activity to produce cervical dilation and effect delivery.

A more conservative mode of infusion calls for starting dose of 0.5 mU/Minute with similar dose increases at intervals of 60 minutes. Both 20 and 40 minute dosage intervals have been shown to be safe and efficient when using oxytocin at starting doses of 6 mU /minuteswith equal increase.