Difficulty: Medium
Average Score: 77%
Simulated
A nurse is reviewing the medical record of a client who has a prescription for misoprostol for induction of labor. Which of the following findings is a contraindication for administration of this medication?
Correct answer
Transverse fetal lie contraindicates misoprostol due to risks like cord prolapse. Other conditions may warrant its use.
Rationale
The correct answer is B: Transverse fetal lie. Misoprostol is contraindicated in cases of transverse fetal lie due to the risk of cord prolapse, which can lead to serious complications during labor. In transverse lie, the baby is positioned sideways in the uterus, increasing the likelihood of the umbilical cord slipping down before the baby, cutting off their oxygen supply. This situation requires immediate intervention, usually through a cesarean section.
Preeclampsia (choice A), post-term pregnancy (choice C), and intrauterine growth restriction (choice D) are not contraindications for misoprostol administration. In fact, misoprostol may be used in these conditions to induce labor when necessary.
In summary, the presence of a transverse fetal lie poses a significant risk of cord prolapse and subsequent complications during labor, making it a contraindication for the use of misoprostol in this scenario.
Preeclampsia (choice A), post-term pregnancy (choice C), and intrauterine growth restriction (choice D) are not contraindications for misoprostol administration. In fact, misoprostol may be used in these conditions to induce labor when necessary.
In summary, the presence of a transverse fetal lie poses a significant risk of cord prolapse and subsequent complications during labor, making it a contraindication for the use of misoprostol in this scenario.