Induction
Name 3 indications for labor induction
Gestational HTN, diabetes, preeclampsia
Which prostaglandin is Cytotec?
Misoprostol
What is the goal contraction pattern with Pitocin?
Every 2-3 min, lasting 40-60 seconds, moderate intensity
PROM stands for?
Prelabor rupture of membranes
What medication class induces contractions?
Uterotonics
What bishop score predicts successful induction?
8 or greater
Which medication is FDA-approved for cervical ripening?
Dinoprostone
What is tachysystole
More than 5 contractions in 10 minutes or prolonged contractions
PPROM occurs before what gestational age?
37 weeks
What medication class stops contractions?
Tocolytics
What is the most important predictor of successful induction
Cervical ripeness
How long should a woman lie flat after Misoprostol?
30-40 min
What is the first action when tachysystole appears?
Stop oxytocin
2 tests to confirm ROM
Nitrazine and Ferning
Why give antenatal glucocorticoids?
Enhance fetal lung maturity
What are contraindications to induction?
Placenta previa, uncontrolled hemorrhage, severe fetal distress
When can Pitocin begin after the last Cytotec dose?
At least 4 hours later
what are Four additional nursing interventions for tachysystole
LR bolus, side lying, 02 8-10 L/min, notify provider, consider terbutaline
What is a major risk with frequent vaginal exams after ROM
Infection
Why give magnesium neuroprophylaxis?
To protect fetal brain in very preterm birth
Why might elective induction be chosen without a medical indication?
Convenience, provider availability, anxiety after previous losses
when does a balloon catheter usually fall out?
At 3-4 cm dilation
What is the initial Pitocin dose?
1-2 milliunits/min
What are 4 complications of PROM/PPROM
Infection, sepsis, cord prolapse, prematurity
After 34 weeks with PPROM, what is usually recommended?
Induction of labor