A patient has received two doses of dinoprostone Prepidil to ...

[Redwolflake15]

A patient has received two doses of dinoprostone Prepidil to initiate labor. It has been 6 hours since the last dose.
 
  The nurse assesses the patient and notes that the cervix is ripe and dilated to 4 cm, but contractions are diminishing in intensity and frequency. What will the nurse expect to do? a. Administer oxytocin.
  b. Monitor urine output.
  c. Prepare for a cesarean section.
  d. Watch closely for fetal distress.

Question 2

Which sedative-hypnotics are useful for both difficulty falling asleep and difficulty maintaining sleep? (Select all that apply.)
 
  a. Eszopiclone Lunesta
  b. Flurazepam Dalmane
  c. Temazepam Restoril
  d. Triazolam Halcion
  e. Extended-release zolpidem Ambien CR

[Amiracle]

Answer to Question 1

A
Once the cervix is ripe and labor has occurred, labor should progress, with contractions increasing in duration and frequency. This woman is showing signs of stalled labor and, because the cervix is ripe, can be induced with oxytocin. Large doses of oxytocin can cause water intoxication, which is not a risk at this point in this patient. There is no indication for a cesarean section at this point. The risk of fetal distress is not increased at this point.

Answer to Question 2

A, B, E
Eszopiclone Lunesta, flurazepam, and extended-release zolpidem Ambien CR help with dif-ficulty falling asleep and difficulty maintaining sleep. Temazepam is useful for maintaining sleep only. Triazolam helps with difficulty falling asleep but does not maintain sleep.