The nurse is caring for several patients on an OB unit and is preparing to pass medications. For which patient or patients would the nurse not question an order for dinoprostone (Prepidil, Cervidil)?
a. The patient in need of cervical thinning
b. The patient with prolonged labor
c. The patient with pelvic inflammatory disease (PID)
d. The patient who strongly desires a vaginal delivery
ANS: C
Dinoprostone is contraindicated in a patient with PID.
Indications for the use of dinoprostone include patients in need of cervical thinning.
Dinoprostone is used in a patient with prolonged labor, because it shortens the duration of labor.
Dinoprostone is used in a patient who strongly desires a vaginal delivery, because it reduces the likelihood of a cesarean section.
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