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Nursing QUESTION #9125
Question 1
A woman in active labor has a Bishop Score of 3. Which statement BEST describes the clinical significance?
  • Cervix is favorable; oxytocin induction can begin immediately
  • Cervix is unfavorable; cervical ripening with prostaglandins should be considered firstāœ”ļø
  • Bishop score is irrelevant once membranes are ruptured
  • Active labor cannot occur with a Bishop Score below 5
Correct Answer Explanation

The Bishop Score assesses cervical ripeness for labor induction. It evaluates 5 parameters:

ParameterScore 0Score 1Score 2Score 3
Dilation (cm)Closed1ā€“23ā€“4ā‰„5
Effacement (%)0ā€“3040ā€“5060ā€“70ā‰„80
Station-3-2-1/0+1/+2
ConsistencyFirmMediumSoftā€”
PositionPosteriorMidAnteriorā€”

A score of ā‰¤6 indicates an unfavorable cervix. Score of 3 means cervical ripening agents (Prostaglandin Eā‚‚ ā€” dinoprostone, or misoprostol) should be used before oxytocin induction. Score ā‰„8 = favorable cervix, induction likely successful.