A primigravida woman at 42 weeks' gestation received Prepidil (dinoprostone) for induction 12 hours ago. The Bishop score is now 3. Which of the following actions by the nurse is appropriate?
a. Perform Nitrazine analysis of the amniotic fluid.
b. Report the lack of progress to the obstetrician.
c. Place the woman on her left side.
d. Ask the doctor for an order for oxytocin.
ANS: b
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a. There is nothing in the scenario that implies that the membranes may have ruptured.
b. Little progress has taken place. The Bishop score of a primigravida will need to be 9 or higher before oxytocin will be effective.
c. There is nothing in the scenario that implies that the patient needs to be placed on her side.
d. The Bishop score of a primigravida will need to be 9 or higher before oxytocin will be effective.
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