A nurse is helping a provider administer a dinoprostone insert to induce labor in a client. What action should the nurse take?

Confirm that informed consent has been obtained before administration.

Position the client in a semi-Fowler’s position for 1 hour after administration.

Allow the medication to reach room temperature before administration.

Advise the client to avoid urinating until after administration.

Answer and Explanation

The Correct Answer is A

Choice A rationale

It is crucial to confirm that informed consent has been obtained before administering a dinoprostone insert to induce labor. This is because the patient has the right to understand the benefits, risks, and alternatives of the procedure before it is performed.
Choice B rationale
Positioning the client in a semi-Fowler’s position for 1 hour after administration is not necessary. After the dinoprostone insert is placed, the patient should remain lying down for at least 30 minutes. After this, the patient may sit up or walk, being careful to ensure the insert remains in place.
Choice C rationale
Allowing the medication to reach room temperature before administration is not a requirement for dinoprostone insert. The medication can be administered as soon as it is needed.
Choice D rationale
Advising the client to avoid urinating until after administration is not necessary. The patient can urinate as needed after the dinoprostone insert is placed.

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Correct Answer is D

Explanation

Choice A rationale
A heart rate of 89/min is within the normal range for adults, and would not typically be a cause for concern.
Choice B rationale
A blood pressure of 120/70 mm Hg is considered normal for adults.
Choice C rationale
Moderate lochia serosa is a normal part of the postpartum period.
Choice D rationale
This is the correct answer. Cool, clammy skin can be a sign of postpartum hemorrhage, a serious condition that requires immediate medical attention.

A. Rust-stained urine B. Subconjunctival hemorrhage C. Single palmar creases D. Transient circumoral cyanosis .

Correct Answer is C

Explanation

Choice A rationale
Rust-stained urine is not a normal finding in a full-term newborn and should be reported to the provider. However, it is not typically assessed upon admission to the nursery.
Choice B rationale
Subconjunctival hemorrhage, or a small red or pink spot on the white of the eye, can occur due to the pressure changes during the birth process. It is a harmless condition that does not affect the baby’s vision and does not require treatment.
Choice C rationale
Single palmar creases, also known as “simian lines,” can be a normal variation in hand creases. However, they are also associated with certain genetic conditions, such as Down syndrome, and should be reported to the provider.
Choice D rationale
Transient circumoral cyanosis, or bluish color around the mouth, can be a normal finding in newborns when they are cold or after crying. However, if it persists, it could indicate a problem with the baby’s heart or lungs and should be reported to the provider.

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A nurse is helping a provider administer a dinoprostone insert to induce labor in a client. What action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is assessing a full-term newborn upon admission to the nursery. What clinical findings should the nurse report?

Correct Answer is C

Explanation

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