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학습 자료 둘러보기 →Before initiating cervical ripening with misoprostol for a post-term patient, the nurse's priority is to verify informed consent and establish continuous electronic fetal monitoring. This ensures a baseline fetal heart rate tracing is documented and allows for immediate detection of tachysystole or non-reassuring patterns after administration.
An unfavorable cervix (low Bishop score) is an expected finding prompting the use of a ripening agent and is not an indication for immediate cesarean delivery. Invasive monitoring with an intrauterine pressure catheter is reserved for specific clinical situations, such as inadequate external tracing or the need to quantify contraction strength, and is not a standard prerequisite for ripening.
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