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?

Encourage the client to express her feelings and grief

Avoid mentioning the baby’s name or characteristics

Tell the client that she can try again for another baby soon

Suggest that the client should not see or hold the baby.

Answer and Explanation

The Correct Answer is A

Grief is a normal and natural response to the loss of a baby, and the nurse should provide emotional support and acknowledge the client’s pain. The nurse should also respect the client’s personal, cultural, or religious needs and preferences regarding the care of the baby.

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Correct Answer is B

Explanation

This is because uterine rupture is a life-threatening complication that requires immediate surgical intervention to save the mother and the fetus.

Delaying the delivery can result in hemorrhage, shock, infection, and fetal death.

A. The type of uterine incision used in the previous cesarean delivery B. The gestational age of the current pregnancy C. The presentation and position of the fetus D. All of the above.

Correct Answer is D

Explanation

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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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?

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Correct Answer is B

Explanation

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)?

Correct Answer is D

Explanation

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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?