Induction of labor is planned for a 31-year-old primip at 39 weeks due to insulin-dependent diabetes. Which nursing action is most important?
1. Administer 100 mcg of misoprostol (Cytotec) vaginally every 2 hours.
2. Place dinoprostone (Prepidil) vaginal gel and ambulate patient for 1 hour.
3. Begin Pitocin (oxytocin) 4 hours after 50 mcg misoprostol (Cytotec).
4. Prepare to induce labor after administering a tap water enema.
3
Rationale 1: One hundred mcg every 2 hours is too much medication administered too frequently.
Rationale 2: The patient must remain recumbent for 2 hours after administration of dinoprostone (Prepidil) vaginal gel, during which time she is continuously monitored.
Rationale 3: A minimum of 4 hours must elapse between the last dose of misoprostol (Cytotec) and the administration of Pitocin.
Rationale 4: Enemas are not routinely used in labor. This order is not expected.
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a. concentration of urine. b. hypovolemia. c. renal failure. d. retention of fluid.
The physician writes an order for medication to be given every 4 hours p.r.n. How should the nurse administer this drug?
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The nurse plans a home visit to a pregnant teen. The demonstrated outcome of this nursing intervention is a(n):
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