1.A nurse receives orders from a health care provider for an elective induction of labor. The provider orders dinoprostone (Cervidil) for cervical ripening. For which client should the nurse question this order?
Client A, who is G1P0 and 41 weeks gestation.
Client C, who is G2P1 at 39 weeks gestation and had a c-section for breech.
Client D, who is G1P0 at 39 weeks, a gestational diabetic, with evidence of fetal macrosomia
Client B, who is G5P4 at 40 weeks gestation.
2.A nurse is preparing to give Terbutaline Sulfate to a pregnant woman. The nurse knows she needs to complete which assessment prior to giving the medication:
Maternal heart rate
Fetal heart rate
3.A nurse is teaching a patient on Procardia (Nifedipine) XL for management of her preterm labor. What is priority teaching when discussing the side effects of the medication?
Take the medication at the same time every day.
You only need to take the medication when you feel like you are having contractions.
Take this medication with food.
Be sure to change positions slowly.
4.A client, who is G1P1 is experiencing a great deal of bleeding after a vaginal delivery. She had a long, three-day induction for preeclampsia with elevated blood pressure. She received 24 hours of therapy for cervical ripening and 48 hours of Pitocin (oxytocin) therapy. The nurse anticipates that the provider will order:
Oxytocin (Pitocin) 10 units IM
Methylergonovine (Methergine) 0.2 mg IM
Magnesium Sulfate 2 gm per hour
Carboprost (Hemabate) 250 mcg IM.