A gravida 3, para 2 woman at 41 weeks' gestation is 1 cm dilated and 60 effaced. She has not ruptured her membranes, has not passed a mucus plug, and is not experiencing labor.
It is decided that if she does not experience labor by the next day, she will be induced with oxytocin (Pitocin). Which actions are key to the nursing care of a woman experiencing induction? (Select all that apply.)
a. Provide an explanation of all procedures to the client.
b. Monitor mother's vital signs throughout the procedure.
c. Insert and monitor arterial blood pressure via an inserted arterial line.
d. Continuously monitor fetal toleration to the induction.
e. Insert a Foley catheter and monitor hourly urine outputs.
f. Assess for obstetric complications and notify physician as warranted.
g. Monitor the intravenous infusion of medication.
h. Continue to increase dosage, titrating until fetal distress is marked.
Question 2
The client received a score of 9 on the Modified Bishop Scoring System. The nurse interprets this to mean that the client:
a. cannot be considered for labor induction because of to her overall health status.
b. can be considered for labor induction but the risks should be evaluated.
c. cannot be considered for labor induction due to the risks to the fetus.
d. can be considered for a labor induction, which is anticipated to be successful.
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