A nurse midwife is assessing whether or not induction of labor can be initiated for a client at 41 weeks’ gestation. The nurse 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?
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.
