The physician prescribes prostaglandin (PGE2) gel for a patient being admitted for induction of labor.
Which finding would best indicate that the prostaglandin gel is effective?
The patient’s cervix is dilated.
The patient’s uterine contraction pattern is enhanced.
The patient’s cervix is softened.
The patient’s uterus is softened.
The Correct Answer is B
The correct answer is choice B. The patient’s uterine contraction pattern is enhanced. Prostaglandin E2 gel is used to induce labor by ripening and dilating the cervix and stimulating uterine contractions. The effectiveness of the gel can be measured by the frequency, duration and intensity of the contractions.
A stronger and more regular contraction pattern indicates that the gel is working and labor is progressing.
Choice A is wrong because cervical dilation is not the only indicator of labor induction. Cervical dilation can occur without contractions or with weak and irregular contractions, which means that labor is not established yet.
Choice C is wrong because cervical softening (or effacement) is a prerequisite for cervical dilation, but it does not necessarily mean that labor has started. Cervical softening can occur weeks before labor or even during pregnancy.
Choice D is wrong because uterine softening (or relaxation) is the opposite of what prostaglandin E2 gel is supposed to do. Uterine softening reduces the contractility and tone of the uterus, which can lead to prolonged labor or fetal distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Dryness and flaking of the skin on the hands and feet.This is because a newborn with a gestational age of 42 weeks is considered post-mature and has lost the protective vernix caseosa that covers the skin of most newborns.The skin of a post-mature newborn is also more exposed to the amniotic fluid, which can cause it to peel and crack.
Choice A is wrong because sole creases that cover only the anterior one-third of the foot are characteristic of a preterm newborn, not a post-mature one.
Choice B is wrong because vernix caseosa is abundant in preterm newborns and decreases as gestational age increases.A post-mature newborn would have little or no vernix caseosa on the skin.
Choice D is wrong because a large amount of fine, downy hair (lanugo) on the back and shoulders is also typical of a preterm newborn, not a post-mature one.Lanugo usually disappears by 36 weeks of gestation.A post-mature newborn would have little or no lanugo on the body.
Correct Answer is B
Explanation
Massaging the uterus helps it contract and prevent excessive bleeding after delivery.Uterine atony is a condition where the uterus does not contract enough to clamp the blood vessels that supply the placenta, leading to postpartum hemorrhage.Uterine massage is one of the interventions to treat uterine atony and restore uterine tone.
Choice A is wrong because having the client void frequently does not directly affect the uterine contraction.However, a full bladder can interfere with uterine contraction and cause displacement of the uterus, so it is important to monitor the bladder status and empty it as needed.
Choice C is wrong because having the client in a side-lying position for comfort does not help with uterine contraction.However, this position may be beneficial for other reasons, such as reducing edema and pain in the perineal area.
Choice D is wrong because keeping the patient on strict bed rest for 24 hours to avoid stress on the uterus does not help with uterine contraction.In fact, early ambulation after delivery can help prevent thromboembolic complications and promote recovery.
Normal ranges for postpartum blood loss are less than 500 mL for vaginal delivery and less than 1000 mL for cesarean delivery.Postpartum hemorrhage is defined as blood loss greater than or equal to 1000 mL or blood loss accompanied by signs or symptoms of hypovolemia within 24 hours after birth.
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