Question

TA (gravida 3, para 0) is at 42 weeks’ gestation. At her prenatal visit, her health care provider notes signs and symptoms of pregnancy-induced hypertension and advises TA about a plan to induce labor after administration of prostaglandin gel. TA asks the nurse, “Can you help me understand all of this?”

1. What objective tool (scoring system) can be used to predict the extent to which TA’s cervix is “ripe” and therefore favorable for successful induction?

TA’s health care provider orders dinoprostone gel for use in the cervix. 2.What will be accomplished with use of the gel?

3. Who will administer the gel?
4. How often can the gel be administered?

5. How long after the last dose of gel can the IV oxytocic medication be started to induce labor?

6. Why is there a waiting period before starting the oxytocin?
7. Further questioning reveals that TA has been ingesting a pregnancy tonic that

includes herbal supplements since 36 weeks’ gestation. List three concerns specific

to pregnancy.

Answer 1

2.

Prostaglandin gel works as a dialator for muscles it helps dialate the cervix and makes it reasy for normal vaginal birth.

3.

Prostaglandin gel is administered to enable the cervix to dialate during labor and mke way for the birth. This gel is administefed eithernthrough oral route overnight or in a gel form in vaginal canal. The administration can only be done by the capable and skilled staff in health care, such as registered specialised nirse or the doctor.

4.

Prostaglandin gel can be used in female with induced hypertension durinf pregnancy, this helps in dialating the cervix and ease in normal vaginal birth. It can also be used in female to indice labor and can be used before oxytocin administration.