66. A client, who is gravida 2, para 1 at 14 weeks gestation, has a routine ultrasound that shows no fetal cardiac motion. Which medication should a nurse anticipate being ordered for this client?
66. A client, who is gravida 2, para 1 at 14 weeks gestation, has a routine ultrasound that shows no fetal cardiac motion. Which medication should a nurse anticipate being ordered for this client?
Test-Taking Tip
The question is asking how to induce delivery in a client with a fetal demise or a missed abortion. Eliminate the drugs that do not induce labor.
Content Area: Maternity, Intrapartum; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes
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Answer 1 is incorrect because magnesium sulfate is a treatment for preterm labor and preeclampsia; it is not a treatment to induce labor. Answer 2 is incorrect because Clomid is a treatment to induce ovulation, not delivery. Answer 3 is incorrect because calcium gluconate is an antidote for magnesium toxicity, not a treatment for inducing labor. Answer 4 is correct because this client has a fetus that has died. Cytotec is an appropriate treatment for inducing delivery of a fetal demise.
