A nulliparous woman has been admitted to the labor and birth ...

[Cooldude101]

A nulliparous woman has been admitted to the labor and birth unit. Her Bishop score is 4. What medication does the nurse plan to administer?
 
  A.
  Betamethasone (Celestone)
  B.
  Hydromorphone (Dilaudid)
  C.
  Misoprostol (Cytotec)
  D.
  Oxytocin (Pitocin)

Question 2

A woman had an amniotomy 1 hour ago. Now she is complaining of uterine tenderness. What action by the nurse is most appropriate?
 
  A.
  Increase the IV infusion rate.
  B.
  Notify the health-care provider.
  C.
  Perform a vaginal examination.
  D.
  Take the woman's temperature.

[yotaSR5]

Answer to Question 1

ANS: C
The Bishop score is a rating system used to determine the level of cervical inducibility. Labor induction is more likely to be successful with a higher score (9 or more for nulliparous women; 5 for multiparous women). This woman's cervix is not favorable for induction, so a cervical ripening agent should be used. Cytotec is one such agent. Betamethasone is used to improve fetal lung maturity. Hydromorphone is a pain medication. Oxytocin would be used to augment labor once the cervix is favorable.

Answer to Question 2

ANS: D
An amniotomy is an invasive procedure that carries the risk of infection. Maternal temperature should be assessed at least every 2 hours afterward. Other signs of infection include uterine tenderness, chills, foul-smelling vaginal discharge, and fetal tachycardia. The nurse should first assess the woman's temperature (and assess for other signs of infection) and then notify the health-care provider. The other two options would not be indicated at this time.