The nurse is preparing to administer a vaginal prostaglandin preparation to ripen the cervix of a client. With which client should the nurse question the use of vaginal prostaglandin as a cervical ripening agent?
a. The client who has a Bishop's score of 5
b. The client who is at 42 weeks of gestation
c. The client who had a previous low transverse cesarean birth
d. The client who had previous surgery in the upper uterus
ANS: D
Prostaglandins are contraindicated in clients who have had a previous surgery in the upper uterus, such as a previous classic cesarean incision or extensive surgery for uterine fibroids. A side effect of prostaglandin administration is hyperstimulation of the uterus. A Bishop's score of 5, 42 weeks of gestation, or a previous low transverse cesarean birth are not contraindications for cervical ripening.
You might also like to view...
A community health nurse is preparing for a presentation on disabilities and is planning to include information about Healthy People 2010 goals. When addressing these goals, the nurse identifies differences from the goals addressed by Healthy People 2000
Which of the following would the nurse identify as different? A) Disability and chronic illness is addressed more widely in the 2000 goals. B) A majority of the focus areas for 2010 are related to chronic illness and disability. C) The goals for 2000 have an entire section on disability and secondary conditions. D) The goals of 2000 cited a lack of parity between disabled and nondisabled persons.
After a patient describes abdominal pain to the nurse, which questions can the nurse use to help the patient provide more information about the pain? (Select all that apply.)
A) "Where do you feel the pain?" B) "Where does the pain travel?" C) "What other symptoms do you have with the pain?" D) "Do you have blood in your stool?" E) "What makes the pain less or worse?"
A 40-year-old client, pregnant with her first child, arrives for a prenatal visit. What perinatal risk factors should the nurse keep in mind when planning this client's care? Select all that apply
1. Miscarriage 2. Maternal death 3. Perinatal morbidity 4. Potential for multiple births 5. Maternal chronic health conditions
The nurse caring for a patient who is being treated for cancer of the cervix by a radioactive implant discovers that the applicator with the radioactive material has become dislodged and is lying in the bed between the patient's legs. What should the nurs
a. Using long-handled forceps grasp the applicator and wrap it in a towel b. Help the patient to a chair and cover the applicator with a rubber sheet c. Reassure the patient by staying at the bedside and call for help d. Notify the charge nurse