LIST OF ABBREVIATION

A J OG

: American Journal of Obstetric and Gyanecology

C/S

: Cesarean Section

IV

: Intravenous

KAMHSON

: Kathmandu Model Hospital School of Nursing.

KMH

: Kathmandu Model Hospital

MMR

: Maternal Mortality Rate

NMC

: Nepal Medical College

O2

: Oxygen

PCL

: Proficiency Certificate Level

PPH

: Post Partum Haemorrhage

RR

: Relative Risk

WHO

: World Health Organization

Appendix A
PURBANCHAL UNIVERESITY
KATHMANDU MODEL HOSPITAL SCHOOL OF
NURSING
Post Basic Bachelor of Nursing Programme
Research Questionnaire on Oxytocin Administration
Topic: Knowledge regarding Oxytocin administration among nurses in Phect Nepal.
Direction: Please tick the appropriate answer.
Information obtained will be used for the study purpose only. Confidentiality will be
maintained throughout the study.
Area:

Date:

PART I
Demographic information;
1.
2.
3.
4.

Working area
.............................
Age
..............................
Level of education
..............................
How much work experience do you have in the labour room?
a. Month
...................
b. Year
....................

PART II
Question related knowledge;
1. What do you mean by prolonged labour?
i.
The duration of first and second stage of labour is more than 18 hour. [
ii.
The duration of first stage of labour is more than 18 hour. [
]
iii.
The duration of first stage of labour is more than 24 hour. [ ]
iv.
The duration of first and second stage of labour is more than 24 hour. [
2. The duration of strong and effective uterine contraction is
i. 20 to 40 seconds
[
]
3

]
]

ii. 40 to 60 seconds
[
]
iii.60 to 80 seconds
[
]
iv. 40 to 90 seconds
[
]
3. The frequency of strong uterine contraction is
i. 1 to 2 minutes
[
]
ii. 2 to 3 minutes
[
]
iii.3 to 5 minutes
[
]
iv. 4 to 5 minutes
[
]
4. How do you manage the prolonged labour?
i.
Use of partograph
[
]
ii.
Artificial rupture of membrane
[
]
iii.
Use of Oxytocin
[
]
iv.
Use of prostaglandin.
[
]
5. What are the indication of induction of labour?
i.
Hypertensive disorders in pregnancy [
]
ii.
Abruptio placenta
[
]
iii.
Rh-Isoimmunisation
[
]
iv.
Postmaturity
[
]
6. What are the contraindication of induction of labour?
i.
Prematurity
[
]
ii.
Malpresentation
[
]
iii.
Cord prolapsed
[
]
iv.
Pelvic tumour
[
]
7. What are the complication of induction of labour?
v.
Hypoxia
[
]
vi.
Prolonged labour
[
]
vii.
Prolapsed cord
[
]
viii. Operative interference[
]
8. What are the uses of Oxytocin?
i. Induction of labour.
[
]
ii. Augmentation of labour.
[
]
iii. Management of second stage of labour.
[
]
iv. Management of atonic postpartum haemorrhage.
[
]
9. Oxytocin acts by
i. Receptor meditation.
[
]
ii. Voltage mediated calcium channel. [
]
iii. Prostaglandin production.
[
]
iv. Cervical dilatation.
[
]
10. Oxytocin has a selective action of
i. Relaxation.
[
]
ii. Stimulation.
[
]
iii. Retraction.
[
]
iv. Sedation.
[
]
11. The goal of oxytocin is to achieve
i.
Three uterine contraction with a duration of 40 to 60 second in 10 minute with
ii.

good uterine relaxation.

[
]
Five uterine contraction with a duration of 60 to 80 second in 10 minute with
good uterine relaxation.

iii.

One uterine contraction with a duration of 20 to 40 second in 10 minute with

iv.

good uterine relaxation.

[
]
Two uterine contraction with a duration of 30 to 50 second in 10 minutes with

good uterine relaxation.

[
]
12. Which of the following are indication of oxytocin uses before delivery?
i. Induce labour, control bleeding and augment labour.
[
]
ii. Induce labour, augment labour and diagnostic test.
[
]
iii. Induce labour, diagnostic test and to stop antepartum haemorrhage. [
]
iv. Induce labour, diagnostic test and stop post partum haemorrhage. [
]
13. Which of the following are contraindication of oxytocin?
i. Placenta praevia, previous history of abortion and cephalopelvic disproportion.
[ ]
ii. Placenta praevia, cephalopelvic disproportion and short height.
[ ]
iii. Placenta praevia, hypotonic uterine contraction and grandmultipara.
[ ]
iv. Placenta praevia, cephalopelvic disproportion and grandmultipara.
[ ]
14. What are the side effects of oxytocin?
i. Hypotension, hypotonic uterine contraction and fetal distress.
[
]
ii. Hypotension, hypertonic uterine contraction and fetal distress.
[
]
iii. Hypertension, hypertonic uterine contraction and fetal distress.
[
]
iv. Hypertension, hypertonic uterine contraction and early membrane rupture. [ ]
15. What is the starting dose of oxytocin to induce labour?
i. 2.5 units in 500 ml dextrose.
[
]
ii. 5 units in 500 ml ringer lactate.
[
]
iii. 7.5 units in 500 ml normal saline.
[
]
iv. 10 units in 500 ml ringer lactate.
[
]
16. What is the the maximum concentration of oxytocin in primigravida during
induction of labour?
i. 2.5 units in 500 ml dextrose.
[
]
ii. 5 unit in 500 ml Ringer lactate.
[
]
iii. 10 unit in 500 ml ringer lactate.
[
]
iv. 7.5 unit in 500 ml normal saline.
[
]
17. What is the initial drop of oxytocin drip during induction?
i. 5 drops/minute.
[
]
ii. 10 drops/minute.
[
]
iii. 15 drops/minute.
[
]
iv. 20 drops/minute.
[
]
18. We should not use oxytocin more than ..............in multigravida and previous
caesarean section.
i. 2.5 units in 500 ml dextrose
ii. 5 units in 500 ml normal saline
iii. 7.5 unit in 500 ml dextrose
iv. 10 unit in 500 ml ringer lactate.
19. What is the increment dose of oxytocin?
5

[
[
[
[

]
]
]
]

i. 10 drops/minute every 15 minutes. [

]
ii. 10 drops/minute every 30 minutes. [
]
iii. 15 drops/minute every 15 minutes. [
]
iv. 15 drops/minute every 30 minutes. [
]
20. The maximum dose of oxytocin drop is (5 unit added to 500 ml intravenous fluid)
i. 40 to 60 drops/minute .
[
]
ii. 60 to 80 drops/minute.
[
]
iii.80 to 100 drops/minute.
[
]
iv. 100 to 120 drops/minute.
[
]
21. What are the complication of oxytocin infusion?
i. Fetal distress.
[
]
ii. Uterine hyper stimulation. [
]
iii. Water intoxication.
[
]
iv. Rupture of uterus.
[
]
22. Fetal distress is a side effect of oxytocin, which is due to
i. Hypotonic uterine contraction.
[
]
ii. Increase placental perfusion.
[
]
iii.Decrease placental perfusion.
[
]
iv. Maternal frequent urination.
[
]
Question related to nursing care during Oxytocin administration:
23. Which is the most important vital sign that you measure before and during
oxytocin administration?
i. Temperature
[
]
ii. Blood pressure
[
]
iii.Respiration
[
]
iv. Fetal heart sound
[
]
24. A mother in active labour with oxytocin infusion has frequent and strong
contraction, restlessness and increase perspiration, what is your first action?
i. Change the mothers position.
[
]
ii. Administer oxygen.
[
]
iii.Turn off Oxytocin.
[
]
iv. Inform the doctor.
[
]
25. When will you discontinue oxytocin infusion?
i.
If frequency of uterine contraction is less than 2 minute and duration of
ii.

uterine contraction more than 60 seconds. [

]
If frequency of uterine contraction less than 4 minutes lasting for more than 40

iii.

seconds.
[
]
If frequency of uterine contraction is more than 4 minutes lasting for 40

iv.

seconds.
[
]
If frequency of uterine contraction is more than 2 minutes and duration of

uterine contraction 40 to 60 seconds.

[
]
26. Fetal heart sound and uterine contraction must be assessed when mother with
oxytocin infusion.
6

i. Before each increase in Oxytocin rate.

ii. After each increase in Oxytocin rate.
iii.As doctors order.
iv. As nurses wish.

[
[
[
[

]
]
]
]

27. Constant observation and accurate assessment are essential

i. To provide safe, optimal care of mother.
[
]
ii. To provide safe, optimal care of baby.
[
]
iii.To provide safe, optimal care for mother and baby. [
]
iv. To fulfil the duty of nurses.
[
]
28. The most important aspect of nursing care to the mother with oxytocin infusion
whose diagnosis is hypotonic dystocia.
i. Monitor the fetal heart sound.
ii. Checking perineum of bulging.
iii.Preparing for an emergency caesarean section.
iv. Timing and recording duration and frequency of contraction.
29. Stop oxytocin drip if fetal heart sound is
i. 120 to 140 per minute.
[
]
ii. 120 to 160 per minute.
[
]
iii.More than 120 less than 160 per minute. [
]
iv. Less than 120 more than 160 per minute. [
]
30. The first sign of rupture of uterus is
i. Cessation of contraction.
ii. Abdominal pain and absent of fetal heart sound.
iii.Abdominal pain and shock due to bleeding into abdomen.
iv. Vaginal bleeding.

Month
Activities

Week

[
[
[
[

[
[
[
[

]
]
]
]

]
]
]
]

Jestha

Jestha

Shrawan

Shrawan

Shrawan Bhadra

1st

2nd

3rd

4th

5th

22-24

25-31

1-6

8-20

22-27

6th

Date
Literature review

Topic Presentation
Proposal writing &
Submission
(Including research tool)
Data Collection and
analysis

13-18

Report Writing &

Submission
Research Presentation

Appendix B
The work plan of the Research Study

Note: The literature review will be throughout the research period.