Author Question: The nurse is caring for several patients on an OB unit and is preparing to pass medications. For ... (Read 51 times)

wenmo · **on:** Jul 23, 2018

The nurse is caring for several patients on an OB unit and is preparing to pass medications. For which patient or patients would the nurse not question an order for dinoprostone (Prepidil, Cervidil)?

a. The patient in need of cervical thinning
b. The patient with prolonged labor
c. The patient with pelvic inflammatory disease (PID)
d. The patient who strongly desires a vaginal delivery

Question 2

A nurse is creating a plan of care for an obstetric patient receiving tocolytic medications. The nurse provides patient education about the medication. The nurse asks the patient, What outcome do we want to see as a result of the tocolytic therapy?

Which response by the patient best demonstrates understanding of this medication?
a. I will have sufficient milk production.
b. The medication will directly affect my comfort level.
c. The delivery will be postponed at least 24 hours.
d. My breasts will be soft but not engorged.

Shshxj · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Dinoprostone is contraindicated in a patient with PID.
Indications for the use of dinoprostone include patients in need of cervical thinning.
Dinoprostone is used in a patient with prolonged labor, because it shortens the duration of labor.
Dinoprostone is used in a patient who strongly desires a vaginal delivery, because it reduces the likelihood of a cesarean section.

Answer to Question 2

ANS: C
Tocolytic therapy is implemented to suppress preterm labor.
Tocolytic therapy does not affect milk production or the breasts.
Tocolytic therapy may indirectly affect the patient's comfort level by reducing contractions, but it does not directly affect comfort level.