All of the following are included in the Bishop score except which one?

Appeared in: Haryana CHO - 2022

Explanation

Fetal Heart Rate (FHR) is not a component of the Bishop score.
The Bishop score is a tool used to assess cervical readiness for labor induction by evaluating five specific characteristics of the cervix and fetal head station.
FHR monitoring is a separate and distinct assessment used to evaluate fetal well-being, tolerance to labor, and oxygenation status, not cervical favorability.

Option A: Cervical dilation, the opening of the cervix measured in centimeters, is a primary component of the Bishop score.
Option B: The station of the fetal head, which describes the descent of the presenting part in relation to the maternal ischial spines, is a key component of the Bishop score.
Option C: The consistency of the cervix (firm, medium, or soft) is one of the five parameters evaluated in the Bishop score.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Components of the Bishop score as background academic context rather than a clinical decision trigger.
Nurses use the Bishop score to plan care for labor induction. A low score (unfavorable cervix) indicates that cervical ripening agents, such as prostaglandins, may be needed before administering oxytocin.
A high score helps in patient counseling, suggesting a higher likelihood of a successful vaginal delivery with induction.
The score helps the healthcare team anticipate the potential duration and difficulty of the induction process, allowing for better resource allocation and patient management.

How to Approach the Question

First, identify the core concept of the question, which is the 'Bishop score'.
Note the keyword 'except'. This indicates you need to find the option that is NOT part of the Bishop score.
Recall the five components of the Bishop score: cervical dilation, effacement, consistency, position, and fetal station.
Evaluate each option against this list.
Option A (Cervical dilation), Option B (Station of fetal head), and Option C (Consistency of Cervix) are all components of the score.
Option D (Fetal Heart Rate) is not a component. It is used to assess fetal well-being, a different clinical parameter.

Concept Tested & Keywords

QUJTo167f4gac26JJAqzj1

E6 Obstetrics Williams p. 24-43

Practise the full Haryana CHO - 2022

Attempt every question from this paper in a timed mock, then review the full solution for each one.