The nurse knows that which of the following interventions is not useful for induction of labor:
Squatting and pelvic lunges.
Amniotomy.
Oxytocin.
Dinoprostone.
The Correct Answer is A
Choice A rationale
Squatting and pelvic lunges are natural positions and exercises that can help with labor progression, but they are not medically recognized methods for inducing labor. These activities may help move the baby into a better position but do not stimulate contractions effectively for labor induction.
Choice B rationale
Amniotomy involves the intentional rupture of the amniotic sac to release amniotic fluid. This procedure can stimulate uterine contractions and is a common method used to induce labor when conditions are appropriate.
Choice C rationale
Oxytocin is a hormone that stimulates uterine contractions. It is commonly administered intravenously to induce or augment labor, making it an effective and widely used method for labor induction.
Choice D rationale
Dinoprostone is a prostaglandin used to ripen the cervix and induce labor. It is applied either as a vaginal insert or gel and helps soften and dilate the cervix, preparing it for labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Reassuring the patient that she will deliver vaginally is inappropriate and could be misleading, especially if there are complications such as placental abruption or severe pre-eclampsia, which may necessitate a cesarean delivery for the safety of the mother and baby.
Choice B rationale
Inserting an indwelling Foley catheter is a standard procedure to monitor urine output and kidney function, especially in cases of pre-eclampsia, where accurate monitoring of fluid balance is crucial.
Choice C rationale
Initiating IV therapy with Lactated Ringer's solution is important to maintain maternal hydration and electrolyte balance, especially if the client is experiencing blood loss and is at risk of hypovolemia.
Choice D rationale
Monitoring the fetal heart tracing is essential to assess the baby's well-being. Continuous fetal monitoring helps detect signs of fetal distress, allowing for timely interventions to ensure the safety of both mother and baby.
Correct Answer is D
Explanation
Choice A rationale
Reducing carbohydrate intake is part of dietary management in gestational diabetes.
Choice B rationale
Women with gestational diabetes have an increased risk of developing type 2 diabetes later in life.
Choice C rationale
Increasing exercise is beneficial for managing blood sugar levels in gestational diabetes.
Choice D rationale
Glyburide is not typically the first-line treatment for gestational diabetes; insulin is often recommended for better control.
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