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Nursing interventions when giving Prostaglandin (Cytotec, Cervidil, Prepidil)?

a) Administer with a full stomach
b) Monitor for signs of preterm labor
c) Encourage ambulation
d) Maintain supine position

User Aetheus
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Final answer:

When administering Prostaglandin (Cytotec, Cervidil, Prepidil) as a nursing intervention to induce labor, it is important to monitor for signs of preterm labor and to avoid a full stomach to reduce the risk of complications. Prostaglandins are used to mimic the body's natural process of labor induction, which involves the secretion of oxytocin and the production of prostaglandins to stimulate uterine contractions.

Step-by-step explanation:

When administering Prostaglandin (Cytotec, Cervidil, Prepidil) as a nursing intervention to induce labor, there are specific considerations to follow for the safety and efficacy of treatment:

  • It is important not to administer Prostaglandins with a full stomach as this could increase the risk of vomiting and aspiration during labor, which can complicate the delivery. Instead, follow the hospital's protocols which often involve administering the drug with an empty or minimally filled stomach.
  • Monitor for signs of preterm labor is crucial as Prostaglandins can potentially stimulate labor earlier than desired. This requires vigilant observation for any signs of early contractions, cervical changes, or fetal distress.
  • Encouraging ambulation is not specific to prostaglandin administration. Ambulation can be beneficial in early labor to promote progression but should be done under medical supervision to ensure safety.
  • It is appropriate to maintain a semi-reclining or side-lying position, as opposed to a supine position to avoid supine hypotensive syndrome and aid comfort for the patient during labor.

Prostaglandins work by enhancing uterine contractile strength and are used to induce labor. This mimics the body's natural labor process where the secretion of oxytocin from the posterior pituitary and the fetal membranes stimulates stronger uterine contractions and the production of prostaglandins, thereby promoting labor.

User Dan Metheus
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