CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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Induction of labor is ordered for a G2P1 client at 43 weeks’ gestation. Induction of labor has begun if the following conditions are present except:

Cephalic disproportion is not present.
The presenting part is engaged.
The L/S ratio is 2.5
The Bishop score is 7.

Explanation

Answer: D - A Bishop score of less than 8 indicates that the cervix is not ripe and that induction of labor is must not be initiated. The other conditions for induction of labor include absence of cephalic disproportion, engagement of the presenting part, fetal lung maturity or L/S score greater than 2 and longitudinal fetal lie.

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