After inserting prostaglandin gel for cervical ripening, the nurse should:
1. Apply an internal fetal monitor.
2. Insert an indwelling catheter.
3. Withhold oral intake and start intravenous fluids.
4. Place the client in a supine position with a right hip wedge.
4
Rationale
1. An internal fetal monitor cannot be applied until adequate cervical dilatation has occurred.
2. The client should void before insertion of the prostaglandin gel. The client should void on her own and not need a catheter.
3. Until labor begins, there is no rationale for withholding all intake.
4. Place the client in a supine position with a right hip wedge. It is recommended the client stay in bed for only 1 hour.
You might also like to view...
A menopausal woman tells her nurse that she experiences discomfort from vaginal dryness during intercourse and asks, "What should I use as a lubricant?" Which of the following should the nurse recommend?
A) Petroleum jelly B) Water-soluble lubricant C) Body cream or body lotion D) Saliva
The nurse places a client, of Islamic descent, in a treatment room of the emergency department for treatment of abdominal pain and vaginal bleeding. The spouse, speaking for the client, asks that only a female provider examine his wife for the pelvic exam
Which is the most culturally-appropriate statement by the nurse? A) "Your spouse will be covered with a sheet so it will not matter whether the examiner is male or female." B) "The male and female providers both respect privacy." C) "The request is unreasonable and cannot be honored." D) "Every attempt will be made to honor your request."
The nurse examining the conjunctivae of a healthy young adult would document a normal finding when recording that the color of the conjunctivae is
a. dark red. b. pale. c. pink. d. yellow tinged.
A client asks the nurse, "I was told that my heart is beating in normal sinus rhythm (NSR). What does that mean?" The nurse replies most therapeutically when responding with which of the fol-lowing?
1. "Are you worried about how your heart is working?" 2. "It means your heart is working just the way it is supposed to work." 3. "A damaged heart doesn't beat in normal sinus rhythm like yours does." 4. "Each beat starts in the SA node and then causes the chambers to contract."