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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Cervical dilation of 5 cm typically indicates the active phase rather than the latent phase of the first stage of labor.
B. Cervical effacement of 50% is consistent with the latent phase, where cervical effacement is a prominent feature.
C. Contractions lasting about 30 to 45 seconds are characteristic of the latent phase.
D. Moderate contraction intensity is more typical of the active phase of the first stage of labor.
E. Contractions occurring every 5 to 10 minutes are consistent with the latent phase, where contractions are typically less frequent than in the active phase.
Correct Answer is ["A","B"]
Explanation
A. Effacement refers to the thinning of the cervix, making it easier for the cervix to dilate during labor.
B. Effacement also involves the shortening of the cervix, contributing to the progressive dilation during labor.
C. Engagement refers to the descent of the fetal head into the pelvic inlet, not a part of effacement.
D. Effacement does not involve the cervix becoming wider; dilation refers to the opening of the cervix.
E. Effacement does not involve the cervix becoming lower; descent of the presenting part is associated with engagement.
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