Questions and Answers
What is the classification of Dinoprostone (Cervidil)?
What is the classification of Misoprostol (Cytotec)?
What actions do cervical ripening agents perform?
Softens cervix (dilation, effacement) and stimulates uterine contractions.
What are the uses of cervical ripening agents?
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Adverse effects of cervical ripening agents include uterine hyperstimulation leading to ___ distress.
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Which of the following is a contraindication for vaginal birth?
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What is the preliminary step before the placement of cervical ripening agents?
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What should the client do after the placement of cervical ripening agents?
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Study Notes
Cervical Ripening Agents Overview
- Dinoprostone (Cervidil) is a Prostaglandin E2 used for cervical ripening, administered via vaginal insertion and can be easily removed.
- Misoprostol (Cytotec) is a Prostaglandin E1 available as a vaginal suppository for cervical ripening or induction.
Actions of Cervical Ripening Agents
- These agents soften the cervix, facilitating dilation and effacement.
- They stimulate uterine contractions to advance the labor process.
Uses of Cervical Ripening Agents
- Employed primarily for pre-induction cervical ripening to prepare the cervix for labor.
- Induction of labor for patients who need assistance in initiating contractions.
- Induction of abortion in cases where it's deemed necessary for health or personal reasons.
Adverse Effects
- Risk of uterine hyperstimulation, potentially leading to fetal distress.
- Common side effects include fever, chills, flushing, headache, hypotension, nausea/vomiting, and diarrhea.
Contraindications for Use
- Vaginal birth is contraindicated in cases of non-reassuring fetal heart rate patterns, unfavorable fetal presentation, or cephalopelvic disproportion.
- Other contraindications include placenta previa, any active vaginal bleeding, and history of uterine or cervical cancer/trauma.
Protocols Before Application
- A preliminary external fetal monitoring strip should be recorded for 20-30 minutes prior to placement.
- Clients should void before administration, and the agent should be at room temperature for optimal effectiveness.
Protocols After Application
- The client should remain supine with a lateral tilt to promote circulation and fetal monitoring.
- Continuous external fetal monitoring is required, documenting fetal heart rate and uterine activity every 30 minutes.
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Description
Test your knowledge on cervical ripening agents with these flashcards. This quiz includes key classifications, actions, and uses of agents like Dinoprostone and Misoprostol. Ideal for students and professionals in obstetrics.
