Author Question: Induction of labor is planned for a 31-year-old client at 39 weeks due to insulin-dependent ... (Read 81 times)

nenivikky · **on:** Jun 27, 2018

Induction of labor is planned for a 31-year-old client at 39 weeks due to insulin-dependent diabetes. Which nursing action is most important?

1. Administer 100 mcg of misoprostol (Cytotec) vaginally every 2 hours.
2. Place dinoprostone (Prepidil) vaginal gel and ambulate client for 1 hour.
3. Begin Pitocin (oxytocin) 4 hours after 50 mcg misoprostol (Cytotec).
4. Prepare to induce labor after administering a tap water enema.

Question 2

A patient in the emergency department is diagnosed with pelvic inflammatory disease. Before discharge, the nurse will provide the patient with some health teaching about:

1. Endometriosis.
2. Menopause.
3. Ovarian hyperplasia.
4. Sexually transmitted infections.

jxjsniuniu · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Explanation: 3. Pitocin should not administered less than 4 hours after the last Cytotec dose.

Answer to Question 2

4
Rationale 1: Endometriosis is not related to pelvic inflammatory disease.
Rationale 2: Menopause is not related to pelvic inflammatory disease.
Rationale 3: Ovarian hyerplasia is not related to pelvic inflammatory disease.
Rationale 4: Pelvic inflammatory disease usually occurs as a result of ascending sexually transmitted infection.