A nurse is helping a provider administer a dinoprostone insert to induce labor in a client. What action should the nurse take?

Confirm that informed consent has been obtained before administration.

Position the client in a semi-Fowler’s position for 1 hour after administration.

Allow the medication to reach room temperature before administration.

Advise the client to avoid urinating until after administration.

Answer and Explanation

The Correct Answer is A

Choice A rationale

It is crucial to confirm that informed consent has been obtained before administering a dinoprostone insert to induce labor. This is because the patient has the right to understand the benefits, risks, and alternatives of the procedure before it is performed.
Choice B rationale
Positioning the client in a semi-Fowler’s position for 1 hour after administration is not necessary. After the dinoprostone insert is placed, the patient should remain lying down for at least 30 minutes. After this, the patient may sit up or walk, being careful to ensure the insert remains in place.
Choice C rationale
Allowing the medication to reach room temperature before administration is not a requirement for dinoprostone insert. The medication can be administered as soon as it is needed.
Choice D rationale
Advising the client to avoid urinating until after administration is not necessary. The patient can urinate as needed after the dinoprostone insert is placed.

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Correct Answer is D

Explanation

Choice A rationale
A heart rate of 89/min is within the normal range for adults, and would not typically be a cause for concern.
Choice B rationale
A blood pressure of 120/70 mm Hg is considered normal for adults.
Choice C rationale
Moderate lochia serosa is a normal part of the postpartum period.
Choice D rationale
This is the correct answer. Cool, clammy skin can be a sign of postpartum hemorrhage, a serious condition that requires immediate medical attention.

A. Press firmly on the client’s suprapubic area. B. Assist the client in pulling their knees toward their abdomen. C. Apply pressure to the client’s fundus. D. Move the client onto their hands and knees.

Correct Answer is B

Explanation

Choice A rationale
Applying firm pressure on the client’s suprapubic area is not part of the McRoberts maneuver. This action is more associated with the suprapubic pressure technique, which is another method used to manage shoulder dystocia.
Choice B rationale
The McRoberts maneuver involves having the client flex her hips against her abdomen. This is achieved by assisting the client in pulling her knees toward her abdomen.
Choice C rationale
Applying pressure to the client’s fundus is not part of the McRoberts maneuver and can be contraindicated as it may cause additional complications.

Choice D rationale
Moving the client onto their hands and knees is not part of the McRoberts maneuver. This position is more associated with the all-fours maneuver, also known as the Gaskin maneuver.

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A nurse is helping a provider administer a dinoprostone insert to induce labor in a client. What action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is caring for a client in the second stage of labor who is experiencing shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. What action should the nurse take?

Correct Answer is B

Explanation

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