The nurse is reviewing the medical history of a pregnant client being considered for cervical ripening. Which data indicate that the order for misoprostol (Cytotec) should be reconsidered? Select all that apply
1. Current fetal heart rate is tachycardic.
2. Client had one cesarean live birth 3 years ago.
3. Uterine contractions are occurring every 2 minutes.
4. Client has 2+ pedal edema and elevated blood pressure.
5. There is a history of placenta previa with one previous pregnancy.
1, 2, 3
Explanation:
1. Absolute contraindications for the use of misoprostol include fetal tachycardia.
2. Absolute contraindications for the use of misoprostol include a history of previous cesarean birth.
3. Absolute contraindications for the use of misoprostol include the presence of uterine contractions 3 times in 10 minutes.
4. Evidence of maternal preeclampsia or eclampsia is not an absolute contraindication for the use of misoprostol.
5. Absolute contraindications for the use of misoprostol include the presence of placenta previa, not a history of placenta previa with a previous pregnancy.
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