To provide safe care for the woman, the nurse understands that which condition is a contraindication for an amniotomy?
a. Dilation less than 3 cm c. -2 station
b. Cephalic presentation d. Right occiput posterior position
ANS: C
The dilation of the cervix must be great enough to determine labor. The presenting part of the fetus should be engaged and well applied to the cervix before the procedure in order to prevent cord prolapse. Amniotomy is deferred if the presenting part is higher in the pelvis. ROP indicates a cephalic presentation, which is appropriate for an amniotomy.
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