A full-term client is admitted for labor induction with a Bishop score of 10. Which drug would the nurse anticipate administering?

A full-term client is admitted for labor induction with a Bishop score of 10. Which drug would the nurse anticipate administering?

• A. Misoprostol
• B. Dinoprostone
• C. Terbutaline
• D. Oxytocin 30 units in 500 ml D5W

Answer: (C)

A Bishop score of 10 means the cervix is ripe and favorable for labor, so induction can proceed without additional cervical ripening. In this situation the goal is to stimulate uterine contractions to progress labor, which is done with oxytocin. Prostaglandins like misoprostol or dinoprostone are used to ripen or soften an unfavorable cervix when induction is needed but the cervix isn’t ready. Terbutaline, on the other hand, is a tocolytic used to suppress preterm contractions or stop hyperstimulation, not to initiate labor. So the appropriate choice is to administer oxytocin to induce or augment labor.

A Bishop score of 10 means the cervix is ripe and favorable for labor, so induction can proceed without additional cervical ripening. In this situation the goal is to stimulate uterine contractions to progress labor, which is done with oxytocin. Prostaglandins like misoprostol or dinoprostone are used to ripen or soften an unfavorable cervix when induction is needed but the cervix isn’t ready. Terbutaline, on the other hand, is a tocolytic used to suppress preterm contractions or stop hyperstimulation, not to initiate labor. So the appropriate choice is to administer oxytocin to induce or augment labor.