A patient at 40 weeks' gestation is to undergo stripping of the membranes. The nurse provides the patient with information about the procedure
Which information is accurate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Intravenous administration of oxytocin will be used to initiate contractions.
2. The healthcare provider will insert a gloved finger into the cervical os and rotate the finger 360 degrees.
3. The procedure will not cause discomfort, and is usually effective.
4. Labor should begin within 24–48 hours after the procedure.
5. Uterine contractions, cramping, and a bloody discharge can occur after the procedure.
2,4,5
Rationale 1: Oxytocin is not used at this time. It may be used later if stripping of membranes is not effective.
Rationale 2: This motion separates the amniotic membranes that are lying against the lower uterine segment and internal os from the distal part of the lower uterine segment.
Rationale 3: The procedure does produce discomfort, and is not 100% effective.
Rationale 4: If labor is initiated, it typically begins within 24–48 hours.
Rationale 5: Uterine contractions, cramping, and bloody discharge can occur after the procedure.
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