The OB resident is assessing a client's cervix during admission for an induction of labor.
The calculated bishop score is 4. Which of the following does the nurse tell the client regarding the start of her induction?
Her cervix is favorable and ready for an oxytocin infusion.
Her cervix is unfavorable and will need cervical ripening.
She is ready to begin pushing.
She will need a cesarean section.
The Correct Answer is B
Choice A rationale
A Bishop score of 4 indicates that the cervix is not yet favorable for oxytocin infusion. A higher score (usually 8 or above) is more indicative of readiness.
Choice B rationale
A Bishop score of 4 suggests that the cervix is unfavorable and will likely need cervical ripening to improve conditions for labor induction.
Choice C rationale
Pushing is only appropriate when the cervix is fully dilated to 10 cm and the baby is in the correct position, which is not indicated by a Bishop score of 4.
Choice D rationale
A Bishop score of 4 does not necessarily indicate the need for a cesarean section; it means the cervix is not ready for labor and may need ripening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Preparing the client for an urgent cesarean section is not immediately necessary unless there are signs of fetal distress or other complications. Hypotonic uterine contractions may be managed with medical interventions to stimulate labor.
Choice B rationale
Discussing the client's gynecoid-shaped pelvis is irrelevant to the immediate management of hypotonic uterine contractions. While pelvic shape can influence labor, the focus should be on addressing the uterine contractions.
Choice C rationale
Amniotomy, or artificial rupture of membranes, can help to increase the strength and frequency of contractions in clients with hypotonic uterine contractions. This intervention can stimulate labor progress.
Choice D rationale
Keeping the client on bedrest is not a primary intervention for hypotonic uterine contractions. Encouraging activity and medical interventions to enhance contractions are more appropriate.
Correct Answer is B
Explanation
Choice A rationale
Vacuum-assisted delivery is typically used when there is some progress in the labor process and the fetal head is engaged. In cases of cephalopelvic disproportion, vacuum assistance would be ineffective and potentially harmful.
Choice B rationale
Cesarean delivery is recommended in cases of cephalopelvic disproportion when the fetus cannot safely pass through the maternal pelvis. This surgical intervention helps to prevent complications for both the mother and the baby.
Choice C rationale
Antibiotic administration is used to prevent or treat infections but does not address the mechanical issue of cephalopelvic disproportion, which is preventing the progression of labor.
Choice D rationale
Discharge to home is not a safe option when cephalopelvic disproportion is suspected. Immediate intervention is necessary to ensure the health and safety of both the mother and the fetus.
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