- Oxytocin is a naturally occurring hormone that is released during labor and when breastfeeding
- Stimulates uterine contractions and increases intensity, strength, and duration of contractions
- Synthetic form given as a continuous infusion IV for labor induction or in postpartum hemorrhage
- Induce/augment labor
- Help control PPH
- Incomplete abortions
- Causes extremely painful uterine contractions
- Frequent monitoring of mom
- Monitor and chart frequency, duration, intensity
- Watch for hypertonic contraction – a single contraction lasting >2 min or >5 contractions in 10 min
- Frequent I&O
- Side effect is water retention
- Frequent fetal monitoring
- Continuous fetal monitoring
- Assess for uterine atony
- Give pitocin to stimulate contractions
- Order set – base monitoring, titrations, and interventions based up on this protocol
- If the baby has non reassuring fetal heart tones
- STOP infusion
- Turn mom on left side
- Assess baby and mom to see if changes occurred
- Notify MD
- Expect to feel pain/contractions
- Purpose of medication
- Plan of care
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nrsng.com/cornell