After inserting prostaglandin gel for cervical ripening, the ...

[Alygatorr01285]

After inserting prostaglandin gel for cervical ripening, the nurse should:
 
  1. Apply an internal fetal monitor.
  2. Insert an indwelling catheter.
  3. Withhold oral intake and start intravenous fluids.
  4. Place the client in a supine position with a right hip wedge.

Question 2

A client calls a prenatal clinic, stating, I have nausea in the morning, I am late with my menstrual cycle, and I am feeling really fatigued. The nurse explains to the client that these symptoms are:
 
  1. Subjective or presumptive signs of pregnancy, but not diagnostic.
  2. Objective or probable signs of pregnancy, but not diagnostic.
  3. Diagnostic or positive signs of pregnancy.
  4. Signs of an ectopic pregnancy.

[dmurph1496]

Answer to Question 1

4
Rationale
1. An internal fetal monitor cannot be applied until adequate cervical dilatation has occurred.
2. The client should void before insertion of the prostaglandin gel. The client should void on her own and not need a catheter.
3. Until labor begins, there is no rationale for withholding all intake.
4. Place the client in a supine position with a right hip wedge. It is recommended the client stay in bed for only 1 hour.

Answer to Question 2

1
Rationale:
1. Subjective (presumptive) changes of pregnancy are the symptoms the woman experiences and reports. Nausea in the morning, a missed menstrual cycle, and fatigue are subjective (presumptive) signs, but cannot be considered proof of pregnancy.
2. Objective or probable changes are signs that an examiner can perceive. They include changes in the pelvic organs, enlargement of the abdomen, and changes in the pigmentation of the skin. However, these changes are not considered to be proof of pregnancy.
3. The positive signs of pregnancy are completely objective, and cannot be confused with a pathologic state. The fetal heartbeat detected by an electronic Doppler is a positive sign of pregnancy.
4. The symptoms described would not be indicative of an ectopic pregnancy.

[Alygatorr01285]

Excellent

[LVPMS]

Gracias!