A nurse is caring for a client at 39 weeks gestation who is being admitted for an elective induction of labor.
Cervical assessment is 4 cm, 80% effaced, minus (-) 3 station, soft consistency, and mid position.
This indicates a Bishop score of 8. Which of the following induction methods does the nurse anticipate the provider will recommend?
Amniotomy.
Oxytocin.
Cytotec.
Cervidil.
The Correct Answer is B
Choice A rationale
Amniotomy can be used for labor induction, but considering the client's Bishop score of 8 and the provider's recommendation, oxytocin may be more effective.
Choice B rationale
Oxytocin is a common and effective medication used to induce labor in clients with a favorable Bishop score. The client's cervical assessment suggests that she is a good candidate for oxytocin induction.
Choice C rationale
Cytotec (misoprostol) is used for cervical ripening and labor induction, but it is typically more appropriate for clients with an unfavorable Bishop score. The client's score indicates readiness for oxytocin.
Choice D rationale
Cervidil (dinoprostone) is another cervical ripening agent, but it is usually recommended for clients with a low Bishop score. The client’s score of 8 suggests that oxytocin induction is more suitable. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A uterine contraction duration of 130 seconds is too long and indicates uterine hyperstimulation, which is not an effective outcome.
Choice B rationale
Uterine contraction frequency every three to four minutes is a normal and effective pattern, indicating that the nurse's intervention to stop oxytocin was successful.
Choice C rationale
The intensity of contractions being strong is important but does not directly indicate effective management of tachysystole.
Choice D rationale
Fetal flexed attitude refers to the fetal position and does not indicate the effectiveness of managing tachysystole.
Correct Answer is ["7"]
Explanation
Step 1 is to assess each parameter: Cervical dilation: 2 cm = 1 point Effacement: 60% = 1 point Station: -1 = 1 point Cervix consistency: Soft = 2 points Cervix position: Anterior = 2 points.
Final calculated answer: Bishop score = 7.
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