NSG 3500 MATERNAL EXAM 2 QUESTIONS AND ANSWERS
Indications for Induction - correct answer 1. Post term pregnancy
2. Gestational HTN
3. Fetal demise
4. PROM
5. Preeclampsia/Eclampsia
6. IUGR
T or F: Oxytocin is a Cervical Ripening Agent - correct answer False, cervical
ripening agents are used when oxytocin is not favorable; however,
oxytocin may be used after cervical ripening has occurred to induce
labor
What are the 2 most common cervical ripening agents? - correct answer 1.
Prostaglandin E1 (Misoprostol/Cytotek)
2. Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil)
, NSG 3500
What are the mechanical methods of cervical ripening? - correct answer 1.
Balloon catheter
2. Hydroscopic dilators
3. Amniotomy
What is Cervidil? - correct answer Small plastic insert containing
prostaglandin with long string is placed into the posterior fornix of the
vagina
How long does cervidil remain in the vagina? - correct answer 12 Hours
What precautions must a patient receiving cervidil follow? - correct answer
1. Stay in bed for first 2 hours (supine or side lying)
2. May get up only for bathroom
3. Stay on monitor
What do you do if tachysystole/hypersystole occurs in a patient
receiving cervidil? - correct answer Remove the insert by wrapping fingers
in saline soaked gauze and pull then administer terbutaline
How can you use a foley to cause mechanical cervical ripening? - correct
answer Insert the catheter into the intracervical canal to increase
pressure on lower uterine segment