A cesarean section would be most appropriate for which of the following clients?
History of cesarean section for fetal distress.
Fear of natural childbirth.
Current pregnancy is complicated by gestational diabetes.
History of cephalopelvic disproportion with first pregnancy.
The Correct Answer is A
A history of cesarean section for fetal distress is an indication for a repeat cesarean section in subsequent pregnancies, as the risk of recurrence of fetal distress is higher. A trial of labor after cesarean (TOLAC) may be attempted in some cases, but a planned cesarean section is often recommended.
Option B is incorrect because fear of natural childbirth is not a medical indication for a cesarean section.
Option C is incorrect because gestational diabetes does not typically require a cesarean section unless other complications arise, such as fetal macrosomia or failed induction of labor.
Option D is incorrect because a history of cephalopelvic disproportion with the first pregnancy may not necessarily require a cesarean section in subsequent pregnancies. A trial of labor may be attempted, depending on the circumstances.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
It is recommended for all diabetic women of childbearing age. (This statement is not entirely accurate as preconception care is recommended specifically for women with diabetes who are considering pregnancy, not all women of childbearing age.)
Correct Answer is C
Explanation
Both genes of a pair must be abnormal for the disorder to be expressed. In autosomal recessive inheritance, the gene for the disorder is located on an autosome (any chromosome other than a sex chromosome) and a person must inherit two copies of the abnormal gene (one from each parent) in order for the disorder to be expressed. If a person inherits only one copy of the abnormal gene, they are a carrier of the disorder but do not typically show symptoms.
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