Answer to Question 1
Correct Answer: 1,2,3
Rationale 1: In the event of sustained uterine contractions, the infusion should be immediately stopped.
Rationale 2: In the event of sustained uterine contractions, the client should have an infusion of intravenous fluids as prescribed.
Rationale 3: In the event of sustained uterine contractions, the client should be placed on her side.
Rationale 4: Oxygen may or may not be needed.
Rationale 5: This position is not to be used if the client experiences sustained uterine contractions.
Global Rationale: In the event of sustained uterine contractions, the infusion should be immediately stopped, an infusion of intravenous fluids started, and the client should be placed on her side. Oxygen may or may not be needed and the patient should not be placed in the lithotomy position.
Answer to Question 2
Correct Answer: 1,2
Rationale 1: This medication is used to promote cervical ripening.
Rationale 2: This medication is used off-label to promote cervical ripening.
Rationale 3: This medication does not promote cervical ripening.
Rationale 4: This medication is not used to promote cervical ripening.
Rationale 5: This medication is not used to promote cervical ripening.
Global Rationale: Cervidil and Cytotec can be used to promote cervical ripening. The remaining drugs do not have that indication.
Example of simplified note for one-time client.
Positioning the client
Testing client’s ability to identify sharp sensations
Position the client
Chewing & Swallowing: Food Processing Begins