The nurse is planning care for a client who just received 25 mcg ...

[nelaaney]

The nurse is planning care for a client who just received 25 mcg of misoprostol (Cytotec) vaginally to ripen the cervix. Which interventions should the nurse plan to implement? (Select all that apply.)
 
  a. Assist the client to the bathroom.
  b. Position the client in a high Fowler position.
  c. Assess the uterus for excessive contractions.
  d. Monitor the fetal heart rate for at least 30 minutes.

Question 2

The nurse is determining a Bishop score on a client being admitted for induction of labor. The assessment on the client is 1 cm dilation, with 50  effacement of the cervix, fetal station of 0, cervix consistency soft, and cervical position anterior.
 
  Which Bishop score should the nurse document? Record your answer as a whole number.
  _______
  What will be an ideal response?

[shayla]

Answer to Question 1

ANS: C, D
The FHR should be monitored for at least 30 minutes for changes and the uterus should be assessed for excessive contractions. To reduce leakage, the woman should lie flat for 15 to 20 minutes after the gel form of prostaglandin is inserted. The client should not be assisted to the bathroom immediately or placed in a high Fowler position (head of bed up 90 degrees).

Answer to Question 2

ANS:
8
The Bishop system is used to estimate how easily a woman's labor can be induced. Higher scores are associated with a greater likelihood of successful induction because her cervix has undergone prelabor changes, often called ripening. A cervix dilated to 1 cm = 1 point; a cervix effaced 50 = 1 point; fetal station of 0 = 2 points; soft cervix = 2 points; and anterior positioned cervix = 2 points; total points = 8.