The nurse is caring for a client at 42 weeks' gestation arriving for an induction of labor. The provider is planning to use dinoprostone (Cervidil) vaginal insert for cervical ripening. What is the nurse's priority prior to insertion?

Start an IV and begin oxytocin infusion as ordered by the provider

Ensure the client eats a light meal and drink plenty of fluids

Place the catheter and sterile saline at the client's bedside

Continuously monitor the fetal heart rate and uterine activity for 20 minutes

Answer and Explanation

The Correct Answer is D

A.   Initiating oxytocin infusion is not the priority before the insertion of dinoprostone. Fetal monitoring is a more immediate concern.

B.   Ensuring the client eats a light meal and drinks fluids is important for general well-being but is not the priority before dinoprostone insertion.
C.   Placing the catheter and sterile saline at the bedside may be done later but is not the priority before insertion.
D.   Continuous monitoring of the fetal heart rate and uterine activity is essential to assess the response to cervical ripening agents, as they can cause uterine hyperstimulation and fetal distress.

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Correct Answer is B

Explanation

A. The interval from the end of one contraction to the beginning of the next one is the frequency, not the duration.
B. Counting the interval from the beginning to the end of one contraction provides the duration of that contraction.
C. Counting the number of contractions in 10 minutes gives the frequency, not the duration.

D. Counting the interval between the acmes (peaks) of two consecutive contractions is not a standard method for determining the duration of contractions. The duration is usually measured from the beginning to the end of a single contraction.

A. Uteroplacental insufficiency B. Maternal hypotension C. Cord compression D. Head compression

Correct Answer is A

Explanation

A. Late decelerations are associated with uteroplacental insufficiency, indicating that the baby is not getting enough oxygen during contractions.
B. Maternal hypotension can lead to decreased perfusion but is more likely associated with variable decelerations.
C. Cord compression is often associated with variable decelerations, not late decelerations.

D. Head compression typically does not cause late decelerations; it may be associated with early decelerations.

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The nurse is caring for a client at 42 weeks' gestation arriving for an induction of labor. The provider is planning to use dinoprostone (Cervidil) vaginal insert for cervical ripening. What is the nurse's priority prior to insertion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client in labor. Which process will the nurse use to determine the duration of contractions?

Correct Answer is B

Explanation

The nurse is caring for a client in labor and discovers late decelerations of the fetal heart rate. What does the nurse know as the reason for this type of deceleration?

Correct Answer is A

Explanation

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The nurse is observing the fetal monitoring tracing pictured below. What type of deceleration will the nurse document?

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