A nulliparous woman has been admitted to the labor and birth unit. Her Bishop score is 4. What medication does the nurse plan to administer?
A.
Betamethasone (Celestone)
B.
Hydromorphone (Dilaudid)
C.
Misoprostol (Cytotec)
D.
Oxytocin (Pitocin)
ANS: C
The Bishop score is a rating system used to determine the level of cervical inducibility. Labor induction is more likely to be successful with a higher score (9 or more for nulliparous women; 5 for multiparous women). This woman's cervix is not favorable for induction, so a cervical ripening agent should be used. Cytotec is one such agent. Betamethasone is used to improve fetal lung maturity. Hydromorphone is a pain medication. Oxytocin would be used to augment labor once the cervix is favorable.
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