A nurse is caring for a patient who had a laminaria tent inserted ...

[KWilfred]

A nurse is caring for a patient who had a laminaria tent inserted 6 hours ago. What action by the nurse is most appropriate?
 
  A.
  Assess and record maternal temperature.
  B.
  Document fetal and maternal heart rate.
  C.
  Perform an amniotic membrane stripping.
  D.
  Remove the laminaria tent and assess cervical dilation.

Question 2

A nurse is caring for a woman who will be induced, but her cervix is not yet favorable for this intervention. The provider leaves an order for dinoprostone vaginal insert (Cervidil), which the nurse administers at 9:00 a.m.
 
  At what time does the nurse anticipate induction with oxytocin (Pitocin)?
  A.
  In 30 to 60 minutes after the last dose of dinoprostone
  B.
  In 30 to 60 minutes after the dinoprostone insert is removed
  C.
  In 5 to 7 hours or when contractions begin
  D.
  In 6 to 12 hours after the dinoprostone insert is removed

[meganlapinski]

Answer to Question 1

ANS: D
A laminaria tent is a hydroscopic cervical dilator made of seaweed, which swells as it absorbs moisture. Hydroscopic dilators remain in place for 6 to 12 hours, after which time they are removed and the woman is assessed for cervical dilation. The other interventions are not specific to this type of dilator.

Answer to Question 2

ANS: B
After Cervidil administration, contractions usually begin within 5 to 7 hours. If further augmentation is needed with oxytocin, it can be administered 30 to 60 minutes after the dinoprostone vaginal insert is removed.

[KWilfred]

Correct answers!

[meganlapinski]

Great! Please up vote