Induction of labor is considered an acceptable obstetric procedure if it is in the best interest to deliver the fetus
The charge nurse on the labor and delivery unit is often asked to schedule patients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction. These include (Select all that apply):
a. Rupture of membranes at or near term.
b. Convenience of the woman or her physician.
c. Chorioamnionitis (inflammation of the amniotic sac).
d. Post-term pregnancy.
e. Fetal death.
ANS: A, C, D, E
These are all acceptable indications for induction. Other conditions include intrauterine growth retardation (IUGR), maternal-fetal blood incompatibility, hypertension, and placental abruption. Elective inductions for the convenience of the woman or her provider are not recommended; however, they have become commonplace. Factors such as rapid labors and living a long distance from a health care facility may be valid reasons in such a circumstance. Elective delivery should not occur before 39 weeks' completed gestation.
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