AIIMS Raipur NO - 2019 (Shift-2)
Obstetrics and Midwifery Nursing
Easy
For induction of labour, Bishop score should be?
Appeared in: AIIMS Raipur NO - 2019 (Shift-2)
Explanation
- A Bishop score greater than 8 indicates a 'favorable' or 'ripe' cervix, which is ready for labor.
- This high score is associated with a high probability of a successful vaginal delivery when labor is induced.
- It reflects that the cervix has already undergone significant changes like softening, effacement, dilation, and moving to an anterior position.
- The success rate of induction with a score greater than 8 is comparable to that of spontaneous labor.
Why Other Options Were Wrong
- Option A: A Bishop score of 5-6 is considered unfavorable or, at best, borderline. It does not reliably predict a successful induction.
- Option B: A Bishop score of 3-4 is clearly unfavorable. The cervix is not ready for labor.
- Option C: A Bishop score of 4-5 is also considered unfavorable. It indicates the cervix is 'unripe' and not prepared for the process of labor.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The Bishop score is a pre-labor scoring system to assist in predicting whether induction of labor will be required. It has also been used to assess the likelihood of spontaneous preterm delivery as background academic context rather than a clinical decision trigger.
- Nurses play a key role in assessing and documenting the Bishop score before labor induction. This assessment is critical for planning care and anticipating the need for interventions.
- A low Bishop score alerts the nursing and medical team that cervical ripening may be necessary, which involves administering medications like prostaglandins or using mechanical dilators like a Foley catheter.
- Patient education is vital. The nurse should explain to the patient what the Bishop score means and what to expect if cervical ripening is needed, including the medications used and potential side effects like uterine tachysystole.
How to Approach the Question
- First, identify the key terms in the question: 'induction of labour' and 'Bishop score'.
- Recall the purpose of the Bishop score, which is to assess cervical readiness ('ripeness') to predict the success of labor induction.
- Remember that a higher score is better. The question asks for the score that indicates a favorable cervix for induction.
- Evaluate the options. The options are different numerical ranges for the score.
- Recall the standard clinical threshold. A score greater than 8 is widely accepted as favorable for induction, indicating a high chance of success. Scores of 6 or less are considered unfavorable.
- Select the option that aligns with the favorable threshold, which is '>8'.
Concept Tested & Keywords
- Concept Tested: The Bishop score is a pre-labor scoring system to assist in predicting whether induction of labor will be required. It has also been used to assess the likelihood of spontaneous preterm delivery.
- Stem keywords: induction of labour, Bishop score
- Lead-in keywords: BEST, MOST RELEVANT CLUE
Question ID
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Reference Book
E6 Obstetrics Williams p. 80-94
E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 39-47
Practise the full AIIMS Raipur NO - 2019 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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