A client, who is 39 weeks pregnant, has been admitted to the hospital for induction.
The doctor has prescribed misoprostol (Cytotec). Which statement by the client indicates a need for further education?
“I can receive the Cytotec as long as my water hasn’t broken yet.”
“I can walk the hallways to speed up labor once my Cytotec is placed.”
“My baby’s heart rate and my contraction pattern will be monitored.”
“I may experience nausea and vomiting after my Cytotec is placed.”
“I may experience nausea and vomiting after my Cytotec is placed.”
The Correct Answer is A
Choice A rationale:
Misoprostol (Cytotec) is a medication used to induce labor.
It is placed in the posterior vaginal fornix.
However, it should not be used if the woman’s water has broken.
If the amniotic sac has ruptured, using Misoprostol can increase the risk of infection for both the mother and the baby.
Therefore, the statement “I can receive the Cytotec as long as my water hasn’t broken yet” indicates a need for further education.
Choice B rationale:
Walking can indeed help to speed up labor by using gravity to help the baby descend.
However, once Misoprostol has been administered, the woman is usually asked to lie on her side for about 30 to 40 minutes to allow the medication to be absorbed.
After that, if the healthcare provider agrees, she may be able to walk around.
Choice C rationale:
Monitoring the baby’s heart rate and the woman’s contraction pattern is a standard procedure during labor and delivery.
This allows the healthcare team to ensure the safety of both the mother and the baby.
It is especially important when medications like Misoprostol are used, as they can cause changes in the frequency and strength of contractions.
Choice D rationale:
Nausea and vomiting are potential side effects of Misoprostol.
However, not all women experience these side effects, and if they do occur, they are usually temporary.
The healthcare provider can offer solutions to manage these side effects if they become bothersome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Genotype refers to the complete set of genetic instructions an individual inherits from their parents. It represents the actual genes present within an individual's cells, determining their traits and characteristics.
Genotype is the underlying genetic foundation that shapes an individual's phenotype, which is the observable expression of those genes.
Choice B rationale:
Chromotype is not a commonly used term in genetics. It may occasionally refer to the banding pattern observed on chromosomes during certain staining techniques, but it does not accurately represent an individual's complete genetic makeup.
Choice C rationale:
Phenotype refers to the observable physical or biochemical characteristics of an individual, such as eye color, height, blood type, or susceptibility to certain diseases. It is the result of the interaction between an individual's genotype and their environment.
While phenotype is influenced by genotype, it does not directly represent the underlying genetic code itself.
Choice D rationale:
Karyotype is a visual representation of an individual's chromosomes, arranged in pairs according to size and shape. It is often used to diagnose chromosomal abnormalities or genetic disorders, but it does not provide the full details of an individual's genetic makeup at the gene level.
Correct Answer is A
Explanation
Choice A rationale:
Bishop score: A tool used to assess the readiness of the cervix for labor induction. It evaluates factors such as cervical dilation, effacement, consistency, position, and station of the fetal presenting part.
Score ranges from 0 to 13: A higher score indicates a more favorable cervix for induction.
Score of 6 or less: Induction is less likely to be successful.
Score of 9 or higher: Induction is more likely to be successful.
Nurses understand: The importance of the Bishop score in predicting the likelihood of successful induction.
Nurses use this information: To counsel patients about the risks and benefits of induction, to prepare for induction, and to monitor progress during induction.
Choice B rationale:
Not always done for medical reasons: Induction can also be elective, meaning it is chosen for non-medical reasons, such as convenience or a desire to avoid a post-term pregnancy.
Examples of medical reasons:
Gestational hypertension or preeclampsia
Fetal growth restriction
Prolonged pregnancy
Chorioamnionitis
Oligohydramnios
Choice C rationale:
Trial of labor (TOL): A term used to describe a vaginal birth attempt after a previous cesarean delivery.
Not synonymous with induction of labor: TOL can occur spontaneously or be induced.
Choice D rationale:
Not always electively done at 37 weeks' gestation: The decision to induce labor at 37 weeks is made on a case-by-case basis.
Factors considered:
Maternal and fetal health
Bishop score
Patient preferences
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