CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

A midwife is assessing whether or not induction of labor can be initiated for a client at 41 weeks’ gestation. The midwife specifically assesses for cervical ripening using the Bishop criteria. Assessment findings include the following: cervical dilatation = 2 cm; effacement = 70%; station = - 2; consistency = medium; position = mid - position. Is the client’s cervix ripe enough for induction of labor?
  1. Yes. The Bishop score is 8.
  2. No. The Bishop score is 7.
  3. No. The Bishop score is 6.
  4. No. The Bishop score is 5.
Explanation
Answer: D - The client has a Bishop score of 5, so cervix is not ripe enough for induction of labor. Based on the Bishop criteria, a client’s cervix is ripe for induction of labor if she scores 8 or greater. The Bishop criteria score cervical dilatation, effacement, station, consistency and position. Each component is scored from 0 to 2. For a score of 10, the highest score, a client must have the following: at least 3 to 4 cm cervical dilatation, at least 80% of cervical effacement, station of +1 or +2, soft consistency of the cervix and anterior tilting of the cervix.
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