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A patient is to start on misoprostol (Cytotec) therapy to produce uterine contractions. Before therapy begins, the nurse should prioritize which of the following assessments?

a) History of hypertension
b) Intake and output for the last 24 hours
c) History of previous cesarean delivery
d) Mental status

1 Answer

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Final answer:

The most crucial assessment a nurse should prioritize before starting a patient on misoprostol (Cytotec) therapy for inducing uterine contractions is checking for a history of previous cesarean deliveries due to the risk of uterine rupture.

Step-by-step explanation:

Before starting therapy with misoprostol (Cytotec), which is used to produce uterine contractions, the most essential assessment a nurse should prioritize is c) History of previous cesarean delivery. Misoprostol can be used to induce labor or for its off-label use for inducing contractions in medical abortions. It is crucial to know if the patient has a history of a cesarean delivery, as this could affect the integrity of the uterine scar and increase the risk of uterine rupture, which is a serious complication during attempts to induce labor

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