ANSWERS WITH COMPLETE SOLUTIONS|PASS ON FIRST
ATTEMPT|BRAND NEW 2026/2027 UPDATE!!!!!
Indications for Induction - 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 - 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? - ANSWER 1. Prostaglandin E1
(Misoprostol/Cytotek)
2. Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil)
What are the mechanical methods of cervical ripening? - ANSWER 1. Balloon catheter
2. Hydroscopic dilators
3. Amniotomy
What is Cervidil? - 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? - ANSWER 12 Hours
1
, What precautions must a patient receiving cervidil follow? - 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? -
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? - ANSWER Insert the
catheter into the intracervical canal to increase pressure on lower uterine segment
T or F: A transcatheter has the highest risk of causing tachysystole? - ANSWER False, it is
associated with the lowest risk
What is the maximum dose of oxytocin? - ANSWER 20 mU/min
What are some contraindications to oxytocin? - ANSWER 1. Placenta previa
2. Transverse fetal lie
3. Umbilical cord prolapse
4. Previous c-section
5. Multifetal pregnancy
6. HTN
Which IV hub should oxytocin be ran through? (Location) - ANSWER Closest to patient in
case of reaction
What are the methods for the augmentation of labor? - ANSWER 1. Amniotomy
2. Oxytocin
2