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

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After inserting prostaglandin gel for cervical ripening, what should the nurse do?
 
  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

The nurse obtains a health history from four patients. To which one should she give priority for teaching about cervical cancer prevention?
 
  1. Age 30, treated for PID
  2. Age 25, monogamous
  3. Age 20, pregnant
  4. Age 27, uses a diaphragm.

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Answer to Question 1

4
Explanation: 4. After the gel, intravaginal insert, or tablet is inserted, the woman is instructed to remain lying down with a rolled blanket or hip wedge under her right hip to tip the uterus slightly to the left for the first 30 to 60 minutes to maintain the cervical ripening agent in place.

Answer to Question 2

1
Rationale 1: Exposure to sexually transmitted infections increases the risk of abnormal cell changes and cervical cancer.
Rationale 2: Practicing monogamy does not increase the risk of cervical cancer.
Rationale 3: Pregnancy does not increase the risk of cervical cancer.
Rationale 4: Use of a diaphragm does not increase the risk of cervical cancer.

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