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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 B

Explanation

Choice A rationale

Contraction duration less than 40 seconds doesn't define tachysystole. Tachysystole focuses on excessive frequency of contractions rather than their duration.

Choice B rationale

Contraction frequency of more than 5 in 10 minutes defines tachysystole. This condition indicates too frequent uterine activity, which can compromise fetal oxygenation.

Choice C rationale

Contraction intensity less than 80 mm Hg doesn't define tachysystole. Tachysystole is characterized by the number of contractions, not their intensity.

Choice D rationale

Resting tone less than 18 mm Hg is not related to the definition of tachysystole. Tachysystole concerns contraction frequency, not the resting tone of the uterus between contractions. .

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