NURS 242 Quiz 3 Exam: NURS 242 Quiz 3 (Final) Questions & Answers: Guaranteed A+ Score Guide

What are some nursing actions that are required prior to preforming a cervical Ripening? (Ans- Maternal Status - vital signs, underlying conditions, SVE, uterine contractions, obtain consent, IV access, ensure pt. voids Fetal well-being - electronic monitoring, non-stress test, possible biophysical profile What are the risks for using Pharmacological cervical ripening? (AnsUterine hyperstimulation Nonreassuring fetal heart rate List Nursing Care Items after insertion of a Cervical Ripening Agent has been applied (AnsAssessment of FHR and uterine activity per institutional policies Patient must stay in bed in side lying position for 30-60 minutes after insertionBe prepared to treat hyperstimulation What are some examples of Cervical Ripening Agents? (Ans- Prostaglandins: Cervidil insert Cytotec tablet Prepidil gel Cervidil (Dinoprostone) (Ans- is a tampon device that will be placed for 12 hours or until labor Will be on a continuous fetal heart monitor Side Effects: amniotic Fluid embolism , fever, back pain, headache, hypotension, d/n/v , Uterine rupture, UTI Contradictions: C - sections regardless of what kind of cut was made / don't give if mother is also on Oxytocin must wait 30 mins Someone with pulmonary, Hepatic or Renal issues Epilepsy, DMPrepidil (Ans- Prepidil - is a syringe of gel can do this every 6 hours within cervix