A nurse is caring for a client who wants to know it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?
“A repeat cesarean section would be safer for both you and your day.”
“The primary consideration is what type of incision you had.”
“There are so many variables that you'll have to ask your provider.”
“It's too soon for you to be worrying about that now.”
The Correct Answer is B
A. "A repeat cesarean section would be safer for both you and your baby.": VBAC is often safe, depending on the uterine incision type. A blanket statement about safety is inaccurate.
B. "The primary consideration is what type of incision you had.": The type of uterine incision (e.g., low transverse) determines VBAC eligibility due to the risk of uterine rupture.
C. "There are so many variables that you'll have to ask your provider.": While consultation with a provider is important, this response lacks educational value.
D. "It's too soon for you to be worrying about that now.": This response dismisses the client’s concerns and is non-therapeutic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Maternal hypertension: Epidurals are more likely to cause hypotension, not hypertension.
B. Prolong labor: Administering an epidural too early can reduce the effectiveness of contractions and delay cervical dilation.
C. Delay rupture of membranes: Epidural anesthesia has no direct effect on the timing of membrane rupture.
D. Fetal depression: Modern epidurals rarely cause fetal depression when used appropriately.
Correct Answer is A
Explanation
A. Fetal side: The shiny, smooth side is the fetal side, also called the Schultz mechanism.
B. Anterior side: Placental delivery does not differentiate between anterior or posterior uterine positioning.
C. Posterior side: Irrelevant to the description of the placental surface appearance.
D. Maternal side: The maternal side is rough and lobulated, called the Duncan mechanism.
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