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 image does not show variable decelerations

B. The tracing shows a decrease in the fetal heart rate that occurs during the peak of the uterine contraction and returns to the baseline after the end of the contraction. This pattern indicates a late deceleration
C. The image does not show prolonged decelerations

D. The image does not show late decelerations

A. Shape, tone and height B. Tone, position and height C. Tone, shape and position D. Shape, height and position

Correct Answer is C

Explanation

A. While shape and height are important aspects, tone is also a key component in assessing the fundus after childbirth.
B. Position is part of the assessment, but the shape and tone are equally crucial components.

C. This choice correctly includes all the essential aspects of a fundal assessment: tone, shape, and position.
D. While shape and height are important, tone and position are equally vital components in assessing the fundus.

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

Correct Answer is B

Explanation

The nurse is completing a fundal assessment for her postpartum clients today. What will the nurse determine when assessing the fundus?

Correct Answer is C

Explanation

The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced. The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

A nurse is providing care for a client experiencing postpartum hemorrhage. Which medications may be prescribed by the provider? Select all that apply.

The nurse is caring for a client in labor receiving oxytocin. The client asks the nurse, "What is this medication for?" What is the best response by the nurse?

The nurse is caring for a laboring client. The nurse observes that there are variable decelerations. What is the nurse's priority action?

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

The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced. The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

The nurse is assessing the fetal monitoring tracing below. Which type of fetal heart rate variability is pictured here in the top tracing?