While caring for the patient who requires an induction of labor, ...

[magmichele12]

While caring for the patient who requires an induction of labor, the nurse should be cognizant that:
 
  a. Ripening the cervix usually results in a decreased success rate for induction.
  b. Labor sometimes can be induced with balloon catheters or laminaria tents.
  c. Oxytocin is less expensive than prostaglandins and more effective but creates greater health risks.
  d. Amniotomy can be used to make the cervix more favorable for labor.

Question 2

The nurse providing care to a woman in labor should understand that cesarean birth:
 
  a. Is declining in frequency in the twenty-first century in the United States.
  b. Is more likely to be performed for poor women in public hospitals who do not receive the nurse counseling as do wealthier clients.
  c. Is performed primarily for the benefit of the fetus.
  d. Can be either elected or refused by women as their absolute legal right.

[HandsomeMarc]

Answer to Question 1

ANS: B
Balloon catheters or laminaria tents are mechanical means of ripening the cervix. Ripening the cervix, making it softer and thinner, increases the success rate of induced labor. Prostaglandin E1 is less expensive and more effective than oxytocin but carries a greater risk. Amniotomy is the artificial rupture of membranes, which is used to induce labor only when the cervix is already ripe.

Answer to Question 2

ANS: C
The most common indications for cesarean birth are danger to the fetus related to labor and birth complications. Cesarean births are increasing in the United States in this century. Wealthier women who have health insurance and who give birth in a private hospital are more likely to experience cesarean birth. A woman's right to elect cesarean surgery is in dispute, as is her right to refuse it if in doing so she endangers the fetus. Legal issues are not absolutely clear.