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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

The correct answer is choice C.Adolescents need more protein than older pregnant women because they are still growing themselves and need to support the growth of the baby and the placenta.Protein can be found in meat, poultry, fish, eggs, dairy products, beans, nuts, and fortified cereals.

Choice A is wrong because adolescents need more supplemental iron than older women, not less.This is because they have lower iron stores due to rapid growth and menstruation.Iron deficiency can cause anemia and increase the risk of infections and bleeding.Iron can be found in meat, poultry, fish, eggs, dairy products, beans, nuts, and fortified cereals.

Choice B is wrong because adolescents need more carbohydrates than older women, not less.Carbohydrates provide energy for the mother and the baby and spare protein for other functions.Carbohydrates can be found in grains, fruits, vegetables, and dairy products.

Choice D is wrong because adolescents need the same amount of vitamin C as older pregnant women, which is 85 milligrams per day.Vitamin C helps with wound healing, collagen formation, iron absorption, and immune function.Vitamin C can be found in citrus fruits, tomatoes, peppers, broccoli, potatoes, and fortified juices.

A. The increase in the level of placental hormones tends to result in chelation of maternal iron. B. Fetal demand for iron is greater than the maternal intake. C. During the latter half of pregnancy, the maternal intestinal absorption of iron is decreased. D. The increase in maternal blood volume is greater than the increase in maternal red blood cells.

Correct Answer is D

Explanation

The correct answer is choice D. The increase in maternal blood volume is greater than the increase in maternal red blood cells.

This means that the concentration of hemoglobin and hematocrit in the blood is diluted by the extra fluid.

This is a normal physiological adaptation to pregnancy and does not indicate iron deficiency anemia.

Choice A is wrong because placental hormones do not chelate maternal iron.

Chelation is a process of binding metal ions to organic molecules, which is not relevant to this question.

Choice B is wrong because fetal demand for iron is not greater than maternal intake.

The mother can meet the iron needs of the fetus by increasing her dietary intake and taking iron supplements.

Choice C is wrong because maternal intestinal absorption of iron is not decreased during pregnancy.

In fact, it may be increased due to higher levels of estrogen and progesterone.

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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?

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Explanation

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Explanation

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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?