A nurse is admitting a client at 42 weeks gestation to the labor and delivery unit for induction of labor. What is a predictor of a successful induction?

Question

A nurse is admitting a client at 42 weeks gestation to the labor and delivery unit for induction of labor.  What is a predictor of a successful induction?

Quizplus · Accepted Answer

11ecbb05_cc02_5c97_b433_47a9f2fe2054_MD0009_00 The Bishop score is a system for the assessment and rating of cervical favorability and readiness for induction of labor. The cervix is scored (0-3) on consistency, position, dilation, effacement, and station of the fetal presenting part. A higher Bishop score indicates an increased likelihood of successful induction that results in vaginal birth. For nulliparous women, a score ≥6-8 usually indicates that induction will be successful (Option A). (Option B) A cervix that is firm and posterior is associated with a low Bishop score, which reflects a low likelihood of successful labor induction. (Option C) A history of precipitous labor (<3 hours from onset of contractions to birth) may indicate that the client will again experience precipitous labor once labor is established. However, such a history is not an independent predictor of successful induction. (Option D) A reactive nonstress test indicates that the fetus is well oxygenated and establishes fetal well-being. It does not provide information about the likely success or failure of labor induction. Educational objective: The Bishop score is a system for the assessment and rating of cervical favorability and readiness for induction of labor. A score ≥6-8 in nulliparous women is associated with successful induction and subsequent vaginal birth.

A Nurse Is Admitting a Client at 42 Weeks Gestation