The nurse is preparing to administer a vaginal prostaglandin ...

[mwit1967]

The nurse is preparing to administer a vaginal prostaglandin preparation to ripen the cervix of a client. With which client should the nurse question the use of vaginal prostaglandin as a cervical ripening agent?
 
  a. The client who has a Bishop's score of 5
  b. The client who is at 42 weeks of gestation
  c. The client who had a previous low transverse cesarean birth
  d. The client who had previous surgery in the upper uterus

Question 2

To monitor for potential hemorrhage in the client who has just had a cesarean birth, which action should the recovery room nurse implement?
 
  a. Monitor her urinary output.
  b. Maintain an intravenous infusion at 1 mL/hr.
  c. Assess the abdominal dressings for drainage.
  d. Assess the uterus for firmness every 15 minutes.

[jaaaaaaa]

Answer to Question 1

ANS: D
Prostaglandins are contraindicated in clients who have had a previous surgery in the upper uterus, such as a previous classic cesarean incision or extensive surgery for uterine fibroids. A side effect of prostaglandin administration is hyperstimulation of the uterus. A Bishop's score of 5, 42 weeks of gestation, or a previous low transverse cesarean birth are not contraindications for cervical ripening.

Answer to Question 2

ANS: D
Maintaining contraction of the uterus is important for controlling bleeding from the placental site. Maintaining proper fluid balance will not control hemorrhage. Monitoring urine output is an important assessment, but hemorrhage will first be noted vaginally. Assessing the abdominal dressing is an important assessment to prevent future hemorrhaging from occurring but is not the first priority assessment in the recovery room.

[mwit1967]

TYSM

[softEldritch]

Excellent