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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Suprapubic pressure aids in the delivery of the fetal shoulders, and delivery of the fetal head. to control postpartum hemorrhage and to assess uterine tone after delivery.
Correct Answer is D
Explanation
The most common cause of excessive blood loss after childbirth is the failure of the uterine muscle to contract firmly, which is also known as uterine atony. If the uterus does not contract effectively after delivery, it cannot properly close off the blood vessels that were connected to the placenta, leading to heavy bleeding. Uterine atony can occur due to various factors, such as prolonged labor, multiple births, or the use of certain medications during labor.
Other causes of excessive blood loss after childbirth include retained placental fragments, vaginal or vulvar hematomas, or unrepaired lacerations of the vagina or cervix, but these are less common than uterine atony.
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