Induction of labor is considered an acceptable obstetric procedure if it is a safe time to deliver the fetus
The charge nurse on the labor and birth unit is often asked to schedule clients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction, including which of the following? (Select all that apply.)
a. Fetal death
b. Post-term pregnancy
c. Rupture of membranes at or near term
d. Convenience of the client or her health care provider
e. Chorioamnionitis (inflammation of the amniotic sac)
ANS: A, B, C, E
Fetal death, post-term pregnancy, rupture of members, and chorioamnionitis are all acceptable indications for induction. Other conditions include intrauterine growth retardation (IUGR), maternal-fetal blood incompatibility, hypertension, and placental abruption. Elective inductions for convenience of the client or her provider are not recommended; however, they have become common. Factors such as rapid labors and living a long distance from a health care facility may be a valid reason in such a circumstance.
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