A few days ago, Jill of Keyboard Revolutionary wrote about the practice of "pit to distress"--a term for aggressive administration of IV Pitocin during labor. Jill of Unnecesarean wrote more about it two days ago. Today L&D nurse blogger Nursing Birth wrote about her personal experience negotiating Pitocin protocols with her OB colleagues. It's a fascinating glimpse into the behind-the-scenes power struggles over patient care.
I'd love to hear from other L&D nurses about Pitocin protocols where they work. Do the physicians you work with tend to be aggressive with their recommendations for Pitocin? Is it fairly common to negotiate, ignore, or disagree with the attending physician about your patient's Pitocin regimen? Please share your stories!
Question 243 from a practice NCLEX exam shows this image and asks:
The nurse is evaluating the client who was admitted 8 hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?
1. Instruct the client to push
2. Perform a vaginal exam
3. Turn off the Pitocin infusion
4. Place the client in a semi-Fowler's position.
I'd guess #3?