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.

Answer and Explanation

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.

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Correct Answer is ["A","B"]

Explanation

Oxygen mask and tubing and blood products and IV fluids should be readily available for a client who has a ruptured uterus.This is because a ruptured uterus can cause severe hemorrhage, hypovolemia, and fetal distress.The client and the fetus may need oxygen therapy and blood transfusion to prevent hypoxia and shock.

A. Crowning B. Molding C. Caput succedaneum D. Shoulder dystocia.

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.

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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)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assist with an emergency cesarean delivery for a client who has a ruptured uterus. Which of the following equipment should the nurse have readily available? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

A nurse is assessing a client who is in labor and notes that the fetal head is visible at the vaginal opening but does not advance with pushing. The nurse should identify this finding as which of the following?

Correct Answer is A

Explanation

A nurse is providing emotional support to a client who had a prolonged labor and delivered a stillborn baby by cesarean section. Which of the following actions should the nurse take?

A nurse is assisting a client who has prolonged and obstructed labor to deliver by vacuum extraction. Which of the following complications should the nurse monitor for in the newborn?

A nurse is caring for a client who is in active labor and experiencing shoulder dystocia. Which of the following actions should the nurse take? (Select all that apply.).

A nurse is caring for a client who has prolonged and obstructed labor and develops a vesicovaginal fistula. Which of the following interventions should the nurse include in the plan of care?

A nurse is evaluating a client who has prolonged and obstructed labor for signs of postpartum hemorrhage. Which of the following findings is an early indicator of postpartum hemorrhage?

A nurse is caring for a client who has prolonged labor and is at risk for infection. Which of the following actions should the nurse take to reduce this risk? (Select all that apply.)

A nurse is assessing a client who is in labor and has been pushing for 3 hours with no progress. The nurse should identify that this client is at risk for which of the following complications? (Select all that apply.).

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)?