MEDizzy - A full-term client is admitted for induction of labor. When

Feed Library Learning Discuss Leaderboard Journal

The Multigravid Client in Labor

A full-term client is admitted for induction of labor. When admitted, her cervix is 25/0. The initial goal is cervical ripening prior to labor induction. Which drug will prepare her cervix for induction?

ExplanationCervical ripening, or creating a cervix that is soft, anterior, and dilated to 2 to 3 cm, must occur before the cervix can efface and dilate with oxytocin (Pitocin). Drugs to accomplish this goal include dinoprostone (Cervidil), misoprostol (Cytotec), and prostaglandin E2 (PGE2). Nubain is a narcotic analgesic used in early labor and has no influence on the cervix. Betamethasone (Celestone) is a corticosteroid given to mature fetal lungs.