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 ["A","B","C","D"]
Explanation
The correct answer is choices A, B, C and D. The type of anesthesia used, the estimated blood loss during surgery, the vital signs and oxygen saturation, and the allergies and medications given are all important information to be included in the hand-off report from the anesthesia provider to the recovery area staff.
These information help to assess the patient’s condition, monitor for complications, and plan for appropriate interventions.
Choice E is wrong because the Apgar scores of the newborn are not relevant to the patient’s recovery from cesarean delivery.
The Apgar scores are used to evaluate the newborn’s physical condition at birth and are usually reported by the neonatal team.
The recovery area staff should focus on the patient’s postoperative care and pain management.
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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