Question

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.

Answer 1

Labor induction is appropriate under certain medical conditions, including the rupture of membranes at or near term, chorioamnionitis, post-term pregnancy, and fetal death. Convenience of the woman or her physician is not a medically justified reason for induction.

Step-by-step explanation:

The induction of labor is a medically relevant procedure that may be necessary for a variety of obstetric reasons. When considering the induction of labor, healthcare providers must evaluate the specific conditions that make this intervention appropriate. These conditions include:

• Rupture of membranes at or near term, which may lead to labor but if not, induction may be necessary to mitigate infection risks and initiate labour.
• Chorioamnionitis, which is an infection of the amniotic sac requiring prompt delivery to decrease risks to both mother and fetus.
• Post-term pregnancy, which indicates a pregnancy that has gone beyond 42 weeks and may present risks such as macrosomia and decreased placental function.
• Fetal death, where induction may be required for the mother's physical and psychological well-being when the fetus has passed away.

The convenience of the woman or her physician is not a medically indicated reason for induction and does not prioritize the health and safety of the mother and fetus. Accordingly, inductions for non-medical reasons should be avoided.