Author Question: The nurse recognizes that fetal scalp stimulation may be prescribed to evaluate the response of the ... (Read 32 times)

sarasara · **on:** Jun 28, 2018

The nurse recognizes that fetal scalp stimulation may be prescribed to evaluate the response of the fetus to tactile stimulation. Which conditions contraindicate the use of fetal scalp stimulation? (Select all that apply.)

a. Post-term fetus
b. Maternal fever
c. Placenta previa
d. Induction of labor
e. Prolonged rupture of membranes

Question 2

Which medications could potentially cause hyperstimulation of the uterus during labor? (Select all that apply.)

a. Oxytocin (Pitocin)
b. Misoprostol (Cytotec)
c. Dinoprostone (Cervidil)
d. Methylergonovine maleate (Methergine)

marict · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B, C, E
Fetal scalp stimulation is not done when there is maternal fever (possibility of introducing microorganisms into the uterus), placenta previa (placenta overlies the cervix, and hemorrhage is likely), or prolonged rupture of membranes (risk of infection). Fetal scalp stimulation may be used to evaluate a post-term fetus' response to stimulation. It is also used to evaluate a fetus when labor is being induced.

Answer to Question 2

ANS: A, B, C, D
Oxytocin, misoprostol, and dinoprostone fall under the general category of uterine stimulants. Cytotec and Cervidil are prostaglandins. Methergine is an ergot alkaloid.