Induction of labor is planned for a 31-year-old primip at 39 weeks due to insulin-dependent diabetes. Which nursing action is most important?

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Quizplus · Accepted Answer

Using misoprostol (Cytotec) for cervical ripening carries a risk of uterine hyperstimulation, which can lead to fetal distress and uterine rupture in women with insulin-dependent diabetes. Dinoprostone (Prepidil) may also carry similar risks. Administering a tap water enema is no longer considered necessary or beneficial prior to labor induction. The most appropriate method of induction for this patient is starting with a low dose of misoprostol (50 mcg) and waiting 4 hours before initiating Pitocin (oxytocin), with careful monitoring of the patient's response to avoid uterine hyperstimulation.

Induction of Labor Is Planned for a 31-Year-Old Primip at 39