A client at 40 weeks' gestation is prescribed dinoprostone ...

[HCHenry]

A client at 40 weeks' gestation is prescribed dinoprostone (Cervidil) for cervical ripening. What should the nurse include when teaching the client about this medication? Select all that apply.
 
  1. Cramping can occur.
  2. Uterine irritability is expected.
  3. Membrane rupture is a sign of labor.
  4. Leakage of the gel should be reported.
  5. Strong regular contractions are expected.

Question 2

A client at 40 weeks' gestation is being considered for cervical ripening. Which criteria should the nurse use to determine the client's success for induction? Select all that apply.
 
  1. Position
  2. Effacement
  3. Consistency
  4. Fetal heart rate
  5. Cervical dilatation

[yasmin]

Answer to Question 1

1, 2, 3
Explanation:
1. Cramping is a common reaction to the medication.
2. Uterine irritability is a common reaction to the medication.
3. Membrane rupture is a sign of labor and not a reaction to the medication.
4. Leakage of the gel is a common reaction that does not need to be reported.
5. Strong regular contractions are a sign of labor and not a reaction to the medication.

Answer to Question 2

1, 2, 3, 5
Explanation:
1. A prelabor scoring system was developed that is helpful to predict the potential success of induction. Components evaluated include position.
2. A prelabor scoring system was developed that is helpful to predict the potential success of induction. Components evaluated include effacement.
3. A prelabor scoring system was developed that is helpful to predict the potential success of induction. Components evaluated include consistency.
4. A prelabor scoring system was developed that is helpful to predict the potential success of induction. The fetal heart rate is not a component that is evaluated.
5. A prelabor scoring system was developed that is helpful to predict the potential success of induction. Components evaluated include cervical dilatation.