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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 A

Explanation

Choice A rationale

Assessing for vaginal bleeding in PPROM is generally not necessary unless there is an indication of placental issues or other complications. PPROM involves the rupture of

membranes before 37 weeks, primarily requiring monitoring for infection and fetal wellbeing rather than routine bleeding checks.

Choice B rationale

Monitoring for signs of infection is critical after PPROM because the rupture increases the risk of ascending infections. The nurse should diligently assess for fever, foul-smelling

discharge, and other signs of infection to initiate timely interventions, preserving both maternal and fetal health.

Choice C rationale

Checking for cervical dilation in PPROM is important because premature rupture of membranes can lead to preterm labor. Monitoring dilation helps determine if labor is imminent,

influencing decisions regarding maternal and neonatal care to prevent complications from premature birth.

Choice D rationale

Watching for fetal compromise is necessary following PPROM as premature rupture of membranes can lead to umbilical cord compression or other complications affecting fetal oxygenation. Continuous fetal monitoring helps detect early signs of distress, allowing timely intervention to ensure fetal safety.

Correct Answer is B

Explanation

Choice A rationale

While infection prevention is vital, ensuring breathing function is more critical after ASP.

Choice B rationale

ASP affects the respiratory system severely; thus, restoring normal breathing is a primary goal.

Choice C rationale

Gastrointestinal function is less immediately affected by ASP compared to respiratory issues.

Choice D rationale

Voiding without pain is important, but respiratory stability takes precedence.

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