A nurse is caring for a woman who will be induced, but her cervix is not yet favorable for this intervention. The provider leaves an order for dinoprostone vaginal insert (Cervidil), which the nurse administers at 9:00 a.m
At what time does the nurse anticipate induction with oxytocin (Pitocin)?
A.
In 30 to 60 minutes after the last dose of dinoprostone
B.
In 30 to 60 minutes after the dinoprostone insert is removed
C.
In 5 to 7 hours or when contractions begin
D.
In 6 to 12 hours after the dinoprostone insert is removed
ANS: B
After Cervidil administration, contractions usually begin within 5 to 7 hours. If further augmentation is needed with oxytocin, it can be administered 30 to 60 minutes after the dinoprostone vaginal insert is removed.
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