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Title: A client at 39 weeks' gestation being prepared for labor induction feels as though the baby has ... Post by: aq__t on Feb 5, 2018 A client at 39 weeks' gestation being prepared for labor induction feels as though the baby has flipped. What action should the nurse take?
1. Evaluate fetal maturity. 2. Administer dinoprostone (Cervidil) vaginal gel. 3. Implement continuous electronic fetal monitoring (EFM). 4. Notify the healthcare provider that the client feels as though the baby has changed position. Title: A client at 39 weeks' gestation being prepared for labor induction feels as though the baby has ... Post by: ShockShard on Feb 5, 2018 4
Explanation: 1. Malpresentation, such as breech, is a relative contraindication to induction of labor. Before proceeding with preparation for induction of labor, the client will require additional evaluation by the healthcare provider before proceeding. 2. Dinoprostone (Cervidil) is used to facilitate cervical ripening, which might be premature since the fetal position needs to be evaluated before proceeding with the induction. 3. EFM will not provide enough information regarding the position of the fetus. 4. Because malpresentation, such as breech, is a relative contraindication to induction of labor, the client will require additional evaluation by the healthcare provider before proceeding. |