A woman is 37 weeks pregnant and questioning the nurse about ...

[krzymel]

A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term. What conditions would contraindicate labor induction? (Select all that apply.)
 
  a. Maternal gynecoid pelvis
  b. Placenta previa
  c. Horizontal cesarean incision
  d. Prolapsed cord
  e. Gestational diabetes

Question 2

What complications of overstimulation of uterine contractions may occur? (Select all that apply.)
 
  a. Water intoxication
  b. Impaired placental exchange of oxygen and nutrients
  c. Increased blood pressure
  d. Convulsions
  e. Uterine rupture

[jharrington11]

Answer to Question 1

ANS: B, D
Labor induction is contraindicated with placenta previa or a prolapsed umbilical cord. Gynecoid pelvis is the most favorable shape for vaginal delivery. Induction can be attempted as a VBAC after a horizontal cesarean incision but is contraindicated with a classic (vertical) incision. Gestational diabetes is not a contraindication for labor induction.

Answer to Question 2

ANS: A, B, E
The most common complications are impaired placental exchange and uterine rupture, but water intoxication can occur due to fluid retention.