A woman is preparing for administration of a cervical ripening ...

[wenmo]

A woman is preparing for administration of a cervical ripening agent. What nursing actions will the nurse anticipate implementing? (Select all that apply.)
 
  a. Insert IV.
  b. Record a baseline fetal heart rate.
  c. Explain procedure to patient.
  d. Instruct patient to ambulate immediately afterward.
  e. Ensure a tocolytic is available.

Question 2

Which interventions could a nurse apply to help stimulate contractions? (Select all that apply.)
 
  a. Encouraging the patient to sit upright
  b. Assisting the patient to ambulate
  c. Stimulating the nipples
  d. Offering emotional support
  e. Allowing the patient to vent frustration

[yuyiding]

Answer to Question 1

ANS: A, B, C
The cervical ripening procedure should be explained to the woman and her family. A fetal heart rate baseline is recorded. An intravenous (IV) line with saline or heparin sodium (Hep-Lock) may be placed in case uterine tachysystole (hyperstimulation) occurs and IV tocolytics (drugs that reduce uterine contractions) are needed. After insertion of the prostaglandin gel, the woman remains on bed rest for 1 to 2 hours and is monitored for uterine contractions. Vital signs and fetal heart rate are also recorded.

Answer to Question 2

ANS: A, B, C
Sitting upright, ambulating, and stimulating the nipples may encourage progression of labor. Offering emotional support and allowing patient to vent frustration are supportive to the patient but do not stimulate more effective labor.

[wenmo]

Correct answers!

[yuyiding]

Great! Please up vote