Cervidil (dinoprostone) has been ordered for a pregnant woman at 42 weeks of gestation. The nurse recognizes that this medication will be administered to:
stimulate the amniotic membranes to rupture.
ripen the cervix in preparation for labor induction.
Enhance uteroplacental perfusion in an aging placenta.
Increase amniotic fluid volume.
The Correct Answer is B
Cervidil (dinoprostone) is a medication used to ripen the cervix in preparation for labor induction in women who are at or near term.
Cervidil contains a synthetic form of prostaglandin E2, which helps to soften and thin the cervix, making it easier to dilate and efface during labor. The medication is usually administered vaginally, in the form of a small, flat, rectangular-shaped insert that is placed near the cervix.
The medication is released slowly over time, helping to ripen the cervix gradually.
Cervidil is not used to stimulate the amniotic membranes to rupture, enhance uteroplacental perfusion in an aging placenta, or increase amniotic fluid volume.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
In the case of a prolapsed umbilical cord, the first priority intervention is to relieve pressure on the cord. Placing the woman in the knee-chest position or Trendelenburg position with the hips elevated is the best way to achieve this. This position helps to reduce the compression of the cord and improve fetal oxygenation.
Option B is incorrect because while oxygen may be necessary, relieving pressure on the cord is the priority.
Option C is incorrect because a vaginal birth should not proceed with a prolapsed umbilical cord, as it can cause cord compression and fetal distress.
Option D is incorrect because covering the cord in sterile gauze soaked in saline is not a priority intervention and may not be effective in relieving pressure on the cord.

Correct Answer is A
Explanation
One of the most important principles of effective health education is to involve the target audience in the planning process. By involving the target audience in the planning process, the nurse can gain a better understanding of their needs, priorities, and concerns related to health and wellness. This, in turn, can help the nurse develop education goals that are relevant, engaging, and effective at improving health outcomes.
Asking the formal leadership of a community what the learning needs are, using the expertise of professional nurses who are skilled at assessing needs, or interviewing physicians to determine the highest need based on diagnoses can all be useful strategies for gathering information about community health needs. However, none of these strategies are as effective at identifying the specific needs and priorities of the target audience as asking the target audience directly.
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