A client has decided to terminate a pregnancy using medication. Which medication would not be effective if used for this purpose?
1. Carboprost (Hemabate)
2. Mifepristone (RU-486)
3. Misoprostol (Cytotec)
4. Levonorgestrel (Plan B)
Correct Answer: 4
Rationale 1: Carboprost is a prostaglandin that can be used to induce uterine contractions that can expel an implanted embryo and result in abortion up to the second trimester.
Rationale 2: Mifepristone is an abortifacient and is used to induce abortions in pregnancies of less than 9 weeks' gestation.
Rationale 3: Misoprostol is given with mifepristone for early abortions, or alone to induce uterine contractions in a second-trimester abortion.
Rationale 4: Levonorgestrel (Plan B) is intended for emergency contraception, and will not cause termination of a pregnancy that is already in place.
Global Rationale: Carboprost is a prostaglandin that can be used to induce uterine contractions that can expel an implanted embryo and result in abortion up to the second trimester. Mifepristone is an abortifacient and is used to induce abortions in pregnancies of less than 9 weeks' gestation. Misoprostol is given with mifepristone for early abortions, or alone to induce uterine contractions in a second-trimester abortion. Levonorgestrel (Plan B) is intended for emergency contraception, and will not cause termination of a pregnancy that is already in place.
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