The following statement(s) is/are true about the risks of Cesarean section:.
) The evidence comparing the risks of planned Cesarean section and vaginal delivery is mainly high quality.
The immediate maternal risks from a planned Cesarean section are significantly higher than those of a planned vaginal delivery.
vaginal birth is associated with a comparable or higher maternal mortality rate than planned Cesarean section.
A planned Cesarean section increases the rate of unexplained stillbirths at or after 34 weeks in future pregnancies.
there is no evidence that an association exists between a prior Cesarean section and subsequent preterm birth, fetal growth restriction and spontaneous miscarriage. These outcomes are more likely to be influenced by other factors such as maternal age, medical conditions
The Correct Answer is D
The correct answer is choice D. A planned Cesarean section increases the rate of unexplained stillbirths at or after 34 weeks in future pregnancies. This is because a prior Cesarean section can cause placental abnormalities such as placenta previa and placenta accreta, which are associated with increased risk of stillbirth.
Choice A is wrong because the evidence comparing the risks of planned Cesarean section and vaginal delivery is mainly low or moderate quality. There are many confounding factors that can affect the outcomes of different modes of delivery, and most studies are observational and not randomized.
Choice B is wrong because the immediate maternal risks from a planned Cesarean section are not significantly higher than those of a planned vaginal delivery. However, a planned Cesarean section is associated with higher risks of infection, thromboembolism, wound complications, and longer hospital stay than a planned vaginal delivery.
Choice C is wrong because a vaginal birth is not associated with a comparable or higher maternal mortality rate than planned Cesarean section. The maternal mortality rate for planned Cesarean section is 0.01% and for planned vaginal delivery is 0.02%, which means there is no significant difference between the two modes of delivery.
Choice E is wrong because there is no evidence that an association exists between a prior Cesarean section and subsequent preterm birth, fetal growth restriction and spontaneous miscarriage.
These outcomes are more likely to be influenced by other factors such as maternal age, medical conditions,
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
“I can take ibuprofen or acetaminophen for pain relief.” This is because these are safe and effective medications for pain management after a C-section.
Choice A is wrong because driving is not recommended until the incision is healed and the pain is gone, which can take 4 to 6 weeks.
Choice B is wrong because lifting anything heavier than the baby can strain the incision and cause bleeding or infection.
Choice C is wrong because sexual intercourse should be avoided until the vaginal bleeding stops and the incision is healed, which can take 4 to 6 weeks or longer.
Correct Answer is A
Explanation
The correct answer is choice A.“I will avoid lifting anything heavier than my baby for the next 6 weeks.” This statement indicates that the client understands the importance of limiting physical activity and protecting the incision site from strain or injury.Lifting heavy objects can increase the risk of bleeding, infection, or wound dehiscence.
Choice B is wrong because resuming regular exercise routine as soon as getting home is not advisable after a C-section.The client should gradually increase activity levels and avoid strenuous exercises until cleared by the healthcare provider.
Choice C is wrong because ibuprofen may not be sufficient for pain relief after a C-section.The client may need stronger pain medications prescribed by the healthcare provider and should follow the instructions on how to take them safely.
Choice D is wrong because removing the dressing from the incision site tomorrow is too soon.The client should keep the incision site clean and dry and follow the healthcare provider’s instructions on when and how to change the dressing.Removing the dressing too early can increase the risk of infection or wound dehiscence.
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