A client diagnosed with gestational diabetes has been admitted for induction of labor at 38 weeks. The client asks the nurse, "My previous labors started on their own. How will this induction of labor be different from my last labor" Upon which theory would the nurse base her response
A. An induction causes the contractions to be more intense during the first stage of labor.
B. The risk of uterine rupture is less because the oxytocin (Pitocin) is controlled with an infusion pump.
C. The goal of induction is to produce a contractile pattern similar to that observed in spontaneous labor.
D. During an induction, fetal monitoring begins as soon as oxytocin is started, whereas in a spontaneous labor, monitoring begins when signs of distress occur.
参考答案：C
解析：The goal during induction of labor is to produce a contractile pattern similar to that observed in spontaneous labor. The infusion of oxytocin is increased until a contractile pattern is achieved in which the contractions occur every 2 to 3 minutes with a duration of 40 to 60 seconds in a 10-minute period and the uterus relaxes between contractions. One of the complications of an induction is the risk of uterine rupture. The client scheduled to receive oxytocin is monitored for at least 20 minutes before initiation of the drug to establish a baseline fetal heart rate. Thereafter, the client is monitored in the same way as a client in spontaneous labor, which depends on the maternal and fetal responses to labor.