The nurse is caring for a client who has experienced a fetal demise. Which medication does the nurse anticipate will be prescribed for this client to expel the fetus?
1. Dinoprostone (Cervidil)
2. Misoprostol (Cytotec)
3. Nifedipine (Procardia)
4. Oxytocin (Pitocin)
Correct Answer: 1
Rationale 1: Dinoprostone (Cervidil and others) is used to initiate labor or to expel a fetus that has died.
Rationale 2: Misoprostol (Cytotec) is incorrect because it is a uterine stimulant, and is not indicated for this use.
Rationale 3: Nifedipine (Procardia) is incorrect because it is used to slow uterine contractions.
Rationale 4: Oxytocin (Pitocin) is incorrect because it is a uterine stimulant, and is not indicated for this use.
Global Rationale: Dinoprostone (Cervidil and others) is used to initiate labor or to expel a fetus that has died. Misoprostol (Cytotec) is incorrect because it is a uterine stimulant, and is not indicated for this use. Nifedipine (Procardia) is incorrect because it is used to slow uterine contractions. Oxytocin (Pitocin) is incorrect because it is a uterine stimulant, and is not indicated for this use.
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