A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone (Cervidil) gel. Which of the following statements should the nurse include in the teaching?

"It is used to treat genital herpes simplex virus."

"This medicine causes relaxation of the uterine muscles."

"This medication is used to treat preeclampsia."

"This medication is used to ripen, or soften, the cervix."

Answer and Explanation

The Correct Answer is D

A)   "It is used to treat genital herpes simplex virus.": This statement is incorrect. Dinoprostone (Cervidil) gel is not used to treat genital herpes simplex virus; it is used in obstetrics to ripen the cervix and prepare it for labor induction.
B)   "This medicine causes relaxation of the uterine muscles.": While dinoprostone is a prostaglandin that can induce uterine contractions, its primary use in this context is cervical ripening, not uterine muscle relaxation.
C)   "This medication is used to treat preeclampsia.": Dinoprostone is not used to treat preeclampsia. It is used for cervical ripening and labor induction in appropriate situations.
D)   "This medication is used to ripen, or soften, the cervix.": This is the correct answer. Dinoprostone (Cervidil) gel is used to ripen the cervix, making it more favorable for labor induction, especially in cases where the cervix is not yet fully dilated or effaced.

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Correct Answer is A

Explanation

A. Fetal position is persistent occiput posterior: The occiput posterior position (the back of

the baby's head facing the mother's back) can lead to a more challenging and prolonged labor with intense back pain.
B. Fetal attitude is in general flexion: Flexion is the normal fetal attitude for birth and does not contribute to a difficult labor with backache.
C. Fetal lie is longitudinal: Longitudinal lie refers to the baby's position along the mother's spine, but it doesn't specify the position of the baby's back, so it is not directly related to backache.
D. Maternal pelvis is gynecoid: Gynecoid pelvis is the most favorable pelvis shape for childbirth, so it is not likely to cause difficult labor with severe backache.

A. Increase the oxytocin infusion to 13 mu/min. B. Initiate a bolus of primary IV fluids. C. Place the client in a sidelying position. D. Apply oxygen at 10 L/min via a venturi mask. E. Perform a sterile vaginal examination (SVE).

Correct Answer is ["B","C","E"]

Explanation

The correct answer is B, C, and D.

Choice A: Increase the oxytocin infusion to 13 mu/min

Increasing the oxytocin infusion is not indicated in this scenario. Oxytocin is used to induce or augment labor, but if the fetal heart rate tracing is abnormal (Category 3), increasing oxytocin could exacerbate fetal distress. The priority is to stabilize the fetal condition before considering increasing oxytocin.

Choice B: Initiate a bolus of primary IV fluids

Initiating a bolus of primary IV fluids is appropriate. This action helps improve placental perfusion and maternal hydration, which can be beneficial in response to abnormal fetal heart rate tracings. Adequate hydration can enhance uteroplacental blood flow and improve fetal oxygenation.

Choice C: Place the client in a sidelying position

Placing the client in a sidelying position is recommended. This position can improve uteroplacental perfusion and fetal oxygenation, especially if there are signs of fetal distress. It helps to alleviate pressure on the inferior vena cava, enhancing blood flow to the placenta.

Choice D: Apply oxygen at 10 L/min via a venturi mask

While oxygen may be indicated for fetal distress, the correct method is usually a non-rebreather mask at 10 L/min, not a venturi mask. A venturi mask delivers more precise oxygen concentrations but not high-flow oxygen, which is needed in this scenario.

Choice E: Perform a sterile vaginal examination (SVE)

A vaginal exam assesses labor progression, cervical dilation, station, and fetal position. This is important for determining whether labor is progressing appropriately or whether further interventions are needed.

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A nurse in a prenatal clinic is teaching a client who has a new prescription for dinoprostone (Cervidil) gel. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?

Correct Answer is A

Explanation

A nurse is caring for a client who is 42 weeks of gestation. Based on the assessment findings, which of the following actions should the nurse plan to take? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

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