A nurse is counseling a client who has a small pelvis and wants to have a vaginal delivery.
Which of the following factors should the nurse consider when discussing the possibility of vaginal birth after cesarean (VBAC)?
The type of uterine incision used in the previous cesarean delivery
The gestational age of the current pregnancy
The presentation and position of the fetus
All of the above.
The Correct Answer is D
All of the above factors should be considered when discussing the possibility of vaginal birth after cesarean (VBAC).
Here’s why:
• The type of uterine incision used in the previous cesarean delivery affects the risk of uterine rupture during VBAC. A low transverse incision is associated with the lowest risk, while a high vertical incision is associated with the highest risk.
• The gestational age of the current pregnancy affects the success rate of VBAC. The optimal time for VBAC is between 39 and 40 weeks of gestation. Attempting VBAC before 37 weeks or after 41 weeks may increase the risk of complications.
• The presentation and position of the fetus affects the feasibility and safety of VBAC. A breech presentation, a transverse lie, or a posterior position may make vaginal delivery difficult or impossible. A cephalic presentation and an anterior position are more favorable for VBAC.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Crowning is when the fetal head is visible at the vaginal opening and does not slip back in with each contraction.This indicates that the baby is ready to be born and the mother should stop pushing to avoid tearing or the need for an episiotomy.
Correct Answer is B
Explanation
a vesicovaginal fistula is an abnormal opening that forms between the bladder and the wall of the vagina, causing urine to leak out of the vagina.Zinc oxide cream can help protect the skin from irritation and infection.
Normal ranges for fluid intake are about 2 to 3 liters per day for healthy adults, depending on age, activity level, and climate.Normal ranges for pelvic floor muscle strength are 10 to 12 contractions of 6 to 8 seconds each, with a rest period of 4 to 6 seconds between each contraction.
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