MEDizzy - A client at 38 weeks’ gestation is admitted for induction of

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Nursing Care of Women at Risk During Pregnancy & Post-partum

A client at 38 weeks’ gestation is admitted for induction of labor. Her membranes ruptured 12 hours ago. There are no other signs of labor. Which medication does the nurse anticipate will be prescribed?

ExplanationA. Oxytocin (Pitocin) is a small polypeptide hormone synthesized in the hypothalamus and secreted from the neurohypophysis (posterior pituitary gland) during parturition or suckling; it promotes powerful uterine contractions and thus is used to induce labor. B. Estrogen (Premarin) suppresses the follicle-stimulating and luteinizing hormones, thus helping to maintain the pregnancy. C. Ergonovine (Ergotrate) can lead to sustained contractions, which is contraindicated during labor; it may be prescribed in the postpartum period to promote or maintain a contracted uterus. D. Progesterone (Prometrium) causes hyperplasia of the endometrium in preparation for implantation of the fertilized ovum; later it helps to maintain the pregnancy.