The nurse is reviewing the medical record of a client for whom induction of labor is being considered.

The nurse notes the following: cervical dilation 2 cm, effacement 60%, -1 station, soft cervix, and anterior cervical position.

Based on this information, what Bishop score would the nurse assign?

Choice A rationale

Thromboembolism is a postpartum complication, particularly in women with risk factors such as obesity, immobility, or a history of thromboembolic events. However, it is not the primary risk associated with a 4,100-gram infant and vacuum-assisted delivery.

Choice B rationale

Postpartum depression is a significant concern for new mothers and can impact their well-being and ability to care for their newborn. While it is a relevant postpartum complication, it is not directly associated with the size of the infant or the delivery method.

Choice C rationale

Mastitis is a potential postpartum complication related to breastfeeding. It involves infection and inflammation of the breast tissue but is not specifically linked to the size of the infant or the mode of delivery.

Choice D rationale

Postpartum hemorrhage is the most significant risk for a client who delivered a 4,100-gram infant via vacuum-assisted delivery. The combination of a large infant and instrumental delivery increases the risk of uterine atony and trauma, leading to excessive bleeding.

Choice A rationale

Fetal polydactyly is the presence of extra fingers or toes. This condition does not affect the progress of labor or lead to dystocia, as it doesn't impact the size, position, or descent of the fetus through the birth canal.

Choice B rationale

The occiput anterior cephalic position is the ideal fetal position for labor. It allows the widest part of the fetal head to fit through the pelvis most easily, reducing the likelihood of labor dystocia.

Choice C rationale

An estimated fetal weight of 4600 grams (macrosomia) can lead to labor dystocia. A larger fetus may have difficulty passing through the maternal pelvis, causing obstructed labor.

Choice D rationale

Fetal hydronephrosis refers to the swelling of the kidney due to urine buildup. While this can be a significant health concern, it does not typically impact the labor process directly.