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The primary healthcare provider for a client at 38 1/7 weeks' gestation calls the labor and delivery suite to schedule an induction for the next day. The client is having no medical or pregnancy complications.
Which of the following responses by the nurse would be appropriate?

A.

At what time would you like to begin the induction?

B.

What is the client's Bishop score?

C.

I am sorry but the client will not be able to be induced tomorrow.

D.

I will have the prostaglandin induction medication prepared.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Induction timing is secondary to assessing readiness. The Bishop score determines cervical favorability for induction success. 

 

Choice B rationale

The Bishop score assesses cervical readiness for labor induction, which is vital in planning an effective induction.

 

Choice C rationale

Refusal to induce without considering clinical data is inappropriate. The Bishop score evaluation determines readiness.

 

Choice D rationale

Prostaglandin preparation follows Bishop score assessment to ensure induction safety and efficacy.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Prolonged labor is not directly linked to drug use and does not present as an immediate complication.

Choice B rationale

Prolapsed cord is not associated with substance abuse and lacks direct connection to this scenario.

Choice C rationale

Cocaine use heightens the risk of abruptio placentae, a serious condition where the placenta detaches prematurely.

Choice D rationale

Retained placenta is a concern but less likely than abruptio placentae in the context of cocaine use.

Correct Answer is C

Explanation

Choice A rationale

Magnesium sulfate is primarily used for neuroprotection in preterm infants and to prevent seizures in severe preeclampsia, not as a first-line tocolytic for preterm labor.

Choice B rationale

Morphine sulfate is an opioid analgesic used for pain management, not for inhibiting preterm labor contractions.

Choice C rationale

Terbutaline is a beta-agonist used as a tocolytic to relax uterine muscles and delay preterm labor. It helps decrease the intensity and frequency of contractions, making it suitable for managing preterm labor.

Choice D rationale

Betamethasone is a corticosteroid used to accelerate fetal lung maturity in preterm labor, not for direct contraction inhibition.

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