A nurse should be aware that induction of labor is rated for success with a Bishop score.
Induction of labor is always done for medical reasons.
Induction of labor is also known as a trial of labor (TOL).
Induction of labor can be initiated by internal and external version techniques.
Induction of labor is rated for success with a Bishop score.
The Correct Answer is D
Choice A rationale
While many inductions of labor are performed for medical reasons, such as preeclampsia or post-term pregnancy, not all are. Elective inductions, performed for non-medical reasons, are also common, although they are associated with certain risks. The decision to induce labor is a medical one, but the indication is not always strictly medical, making this statement inaccurate.
Choice B rationale
A trial of labor (TOL) is a term used specifically for patients who have had a prior cesarean section and are attempting a vaginal delivery. It is also known as a TOLAC (Trial of Labor After Cesarean). Induction of labor is a broader term and refers to stimulating contractions before the spontaneous onset of labor. The two terms are not synonymous.
Choice C rationale
Induction of labor is a process initiated by methods like oxytocin infusion or prostaglandin gels. Internal and external version are procedures used to change the fetal presentation (e.g., from breech to cephalic) and are not methods for initiating labor. These procedures may be followed by induction, but they are not the induction methods themselves.
Choice D rationale
The Bishop score is a scoring system used to predict the likelihood of a successful induction of labor. It assesses five components: cervical dilation, effacement, consistency, position, and fetal station. A higher Bishop score (typically 8 or greater) indicates a more favorable cervix and a greater chance of successful induction, making this a crucial assessment tool.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A fetus in the left sacroanterior (LSA) position has its sacrum, or buttocks, pointing toward the mother's left side and toward the front of her pelvis. The fetal heart is typically located in the fetal chest, and with a breech presentation (sacrum first), the fetal heart is located higher in the uterus, often above the umbilicus, which explains why the nurse hears the fetal heart rate in that location.
Choice B rationale
A fetus in the left occipitoanterior (LOA) position has its occiput, or back of the head, pointing toward the mother's left side and toward the front of her pelvis. In this vertex presentation, the fetal head is typically in the lower uterine segment, and the fetal heart would be heard below the mother's umbilicus, not above it.
Choice C rationale
A fetus in the right occipitoanterior (ROA) position has its occiput, or back of the head, pointing toward the mother's right side and toward the front of her pelvis. Similar to LOA, this is a vertex presentation. The fetal heart is typically heard below the mother's umbilicus and on her right side, not above it and on her left side.
Choice D rationale
A fetus in the right occipitoposterior (ROP) position has its occiput, or back of the head, pointing toward the mother's right side and toward the back of her pelvis. This is also a vertex presentation. The fetal heart would be heard below the mother's umbilicus and on her right side, not above it and on her left side.
Correct Answer is ["2.5"]
Explanation
Step 1: The total units available are 100 U in a 10 mL vial.
Step 2: Calculate the concentration of the medication: 100 U ÷ 10 mL = 10 U/mL.
Step 3: The ordered dose is 25 U.
Step 4: Calculate the volume to administer: 25 U ÷ (10 U/mL) = 2.5 mL. Final calculated answer: 2.5.
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