CNM Certified Nurse Midwife

Category - Intrapartum

Which of the following clients in labor is most likely considered for artificial induction of labor?
  1. A client who gave birth to an Rh-positive baby and failed to get a RhoGAM after birth.
  2. A client at 43 weeks’ gestation who has been in the second stage of labor for one hour.
  3. A client who ruptured her membranes 18 hours ago.
  4. A client with severe hypertension.
Explanation
Answer: A - A client who gave birth to an Rh-positive baby and failed to get a RhoGAM after birth is most likely considered for induction of labor. The indications for induction of labor include: Rh-sensitization, pregnancies at more than 42 weeks’ gestation, prolonged rupture of membrane (longer than 24 hours), eclampsia, pre-eclampsia, intrauterine growth retardation and severe hypertension.
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