NSG 3500 - MATERNAL EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS

NSG 3500 - MATERNAL EXAM 2 QUESTIONS WITH COMPLETE
SOLUTIONS




Indications for Induction - ANSWER-1. Post term pregnancy
2. Gestational HTN
3. Fetal demise
4. PROM
5. Preeclampsia/Eclampsia
6. IUGR


T or F: Oxytocin is a Cervical Ripening Agent - ANSWER-False, cervical
ripening agents are used when oxytocin is not favorable; however,
oxytocin may be used after cervical ripening has occurred to induce
labor


What are the 2 most common cervical ripening agents? - ANSWER-1.
Prostaglandin E1 (Misoprostol/Cytotek)
2. Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil)


What are the mechanical methods of cervical ripening? - ANSWER-1.
Balloon catheter

, 2. Hydroscopic dilators
3. Amniotomy


What is Cervidil? - ANSWER-Small plastic insert containing
prostaglandin with long string is placed into the posterior fornix of the
vagina


How long does cervidil remain in the vagina? - ANSWER-12 Hours


What precautions must a patient receiving cervidil follow? - ANSWER-
1. Stay in bed for first 2 hours (supine or side lying)
2. May get up only for bathroom
3. Stay on monitor


What do you do if tachysystole/hypersystole occurs in a patient
receiving cervidil? - ANSWER-Remove the insert by wrapping fingers in
saline soaked gauze and pull then administer terbutaline


How can you use a foley to cause mechanical cervical ripening? -
ANSWER-Insert the catheter into the intracervical canal to increase
pressure on lower uterine segment