Nursing Care of the Client in Labor Questions
and Answers (100% Correct Answers)
Cervical Ripening
Ans: Cervical ripening increases cervical readiness for labor by either a chemical or
mechanical method to promote cervical softening, dilation, and effacement.
Chemical agents consist of prostaglandin E (misoprostole (Cytotec) and
prostaglandin E., dinorpostone (Cervidil Insert), which is sed to ripen the cervix
(soften and thin) and to increase scervical readiness prior to the induction of labor
Induction of labor
Ans: is the deliberate initiation of uterine contractions to stimulate labor before
spontaneous onset to bring about the birth either by chemical or mechanical means.
Augmentation of labor
Ans: is the stimulation of hypotonic contractions once labor has spontaneously
begun, but progress is inadequate
Methods
Ans: Amniotomy or stripping of membranes
Prostaglandins applied cervically
Nipple stimulation to trigger the release of endogenous oxytocin
Administration of IV oxytocin (Pitocin0
Indications
Ans: Diagnoses:
-Any condition in which augmentation or induction of labor is indicated
Client Outcomes
Ans: The client's labor will progress without complications
Nursing Actions
Ans: Preparation of Client
-Determine Bishop score to evaluate maternal readiness for labor.
-Assign a numerical value of 0 to 3 for cervical dilation, cervical effacement, cervical
consistency, cervical position, and presenting part station