During the admission assessment, a laboring patient shares that her last baby was born by cesarean but she would like to try to deliver vaginally this time. Upon further discussion, the nurse learns the birth was an emergency delivery for fetal intolerance to labor. What information is the most important for the nurse to obtain?

A. Stay with the patient and call for help. The priority during a seizure is to ensure the patient’s safety and call for immediate assistance. The nurse should stay with the patient, protect her from injury, and note the seizure’s duration and characteristics. After the seizure ends, further interventions can be implemented.

B. Suction the mouth to prevent aspiration. Suctioning should only be performed after the seizure ends. Attempting to suction during an active seizure increases the risk of injury and airway obstruction.

C. Insert an oral airway. Inserting an oral airway during an active seizure is unsafe and contraindicated because it may cause trauma to the mouth or airway. An airway can be inserted after the seizure stops if necessary.

D. Administer oxygen by tight face mask. While oxygen is important, it should be provided after the seizure subsides and the airway is assessed. The primary focus during the seizure is safety, preventing injury, and calling for emergency assistance.

A. The type of uterine incision used for the cesarean. This is the most important information because the type of uterine incision determines whether a trial of labor after cesarean (TOLAC) is safe. A low transverse incision is the safest and has the lowest risk of uterine rupture, while a classical (vertical) incision carries a high risk of rupture and contraindicates vaginal birth after cesarean (VBAC).

B. The client's blood type and Rh status. While blood type and Rh status are important for managing potential complications such as Rh incompatibility, they do not determine the safety of a VBAC attempt. The uterine incision type is the key factor in assessing the risk of uterine rupture.

C. The client's response to anesthesia used for the last delivery. Although anesthesia history is relevant for planning pain management, it is not the most critical factor in determining whether the patient can safely attempt a vaginal delivery after a prior cesarean.

D. Lab values, especially hemoglobin and hematocrit. Hemoglobin and hematocrit levels help assess for anemia or blood loss risk, but they do not affect the safety of a VBAC attempt. The primary concern is uterine integrity, which is determined by the type of previous cesarean incision.