A client is being sent into the labor and birth unit for a serial induction of labor. The Bishop's score is 7. What would the nurse anticipate as the sequence of treatment planned for this client?
a. Administration of laminaria with EFM followed by amniotomy and oxytocin (Pitocin) infusion in a 12-hour period
b. Amniotomy on the first day in conjunction with EFM followed by oxytocin (Pitocin) infusion on the following clinical day
c. Administration of oxytocin (Pitocin) on the first day followed by amniotomy on the second clinical day
d. Administration of laminaria with EFM on the first day followed by oxytocin (Pitocin) infusion on the second day and evaluation of progress; on the third day, continued oxytocin (Pitocin) infusion with amniotomy
ANS: D
A serial induction looks at a progressive treatment plan that is based on the best outcome, that of a successful birth. Because the Bishop's score is 7, this indicates that certain conditions are not favorable for an induction. Therefore, the use of mechanical methods for cervical ripening maybe warranted. A serial induction is typically done over a 3-day period in which cervical ripening is followed by 2 days of Pitocin infusion, and on the last day an amniotomy is performed in conjunction with the infusion.
You might also like to view...
The nurse is assisting with a BSE clinic. Which of these women reflect abnormal findings during the inspection phase of breast examination?
a. Woman whose nipples are in different planes (deviated). b. Woman whose left breast is slightly larger than her right. c. Nonpregnant woman whose skin is marked with linear striae. d. Pregnant woman whose breasts have a fine blue network of veins visible under the skin.
A 9-year-old girl is given the diagnosis of depression. She has low self-esteem, does not enjoy group therapy, and does not show her emotions
The nurse has had difficulty establishing rapport with this client and decides to ask for assistance from another treatment team member. Which team member would be the best choice to assist in this situation? a. Psychiatric assistant b. Dietitian c. Occupational therapist d. Expressive therapist
A client complains of a lesion in his nose. Which technique does a nurse use to inspect the nasal mucosa? The nurse:
a. Inserts a nasal speculum horizontally into the client's affected nares. b. Inserts a nasal speculum obliquely into the client's affected nares. c. Uses a light source from the ophthalmoscope. d. Inserts a nasal speculum vertically into the client's affected nares.
A patient who is using a topical antifungal agent to treat mycosis calls the clinic to report a severe rash that is accompanied by blisters. What will the nurse instruct the patient to do?
A) "Continue the drug as the prescription indicates." B) "Scrub the rash with soap and water." C) "Stop using the drug immediately." D) "Decrease the amount of the medication used."