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.”

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. An external fetal monitor will be used to monitor the FHR: Nonstress tests (NST) monitor the fetal heart rate (FHR) in response to fetal movements using external monitors.

B. The client will receive an ultrasound prior to the test: An ultrasound is not part of the standard procedure for an NST.

C. An IV will be initiated prior to the test: An IV is unnecessary; the test is noninvasive.

D. The client will be asked to stimulate her nipples for 5 min during the test: Nipple stimulation is part of a contraction stress test, not an NST.

A. How long the patient states the contractions last. B. The time between the end of one contraction and the beginning of the next. C. The time between the beginning and the end of one contraction. D. The time between the beginning of one contraction and the beginning of the next.

Correct Answer is D

Explanation

A. How long the patient states the contractions last: This measures contraction duration, not frequency.

B. The time between the end of one contraction and the beginning of the next: This measures the interval, not frequency.

C. The time between the beginning and the end of one contraction: This measures the contraction’s duration.

D. The time between the beginning of one contraction and the beginning of the next: This is the standard way to measure contraction frequency.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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