The nurse has received shift report for five clients admitted in labor. Which clients will the nurse anticipate delivering by a cesarean section? Select all that apply.
A previous low transverse uterine incision
Placenta previa
A previous classical uterine incision
Prolapsed umbilical cord
Breast cancer
Correct Answer : B
A. A previous low transverse uterine incision is a factor that may allow for a trial of labor after cesarean (TOLAC) or a vaginal birth after cesarean (VBAC), rather than an automatic cesarean section.
B. Placenta previa, where the placenta partially or completely covers the cervix, often requires a cesarean section to avoid complications such as bleeding during labor.
C. A previous classical uterine incision, especially if it extends into the upper part of the uterus, is a contraindication for a trial of labor or vaginal birth, usually requiring a repeat cesarean
section.
D. Prolapsed umbilical cord, where the cord precedes the presenting part, can lead to cord compression during contractions, necessitating a prompt cesarean section.
E. Breast cancer is not a direct indication for a cesarean section; it does not impact the mode of delivery in the absence of other obstetric indications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A 9-year-old is in the school-age period, which corresponds to Erikson’s stage of industry vs. inferiority. During this stage, children focus on developing skills, gaining competence, and seeking approval for accomplishments. Supporting independence in asthma care (such as learning to use an inhaler) fosters a sense of industry.
B. Initiative vs. guilt is the stage for preschool-aged children (3–6 years), where the focus is on asserting power and control through play and social interactions.
C. Identity vs. role confusion is more applicable to adolescence and focuses on the formation of a stable self-identity.
D. Autonomy vs. shame and doubt is relevant to the toddler age range, emphasizing the development of independence. While independence is important, the immediate concern in the given scenario aligns more with the initiative and responsibility associated with the school-age child.
Correct Answer is D
Explanation
A. Oxytocin is administered to enhance contractions, not to slow them down.
B. While increased blood flow through the placenta is important for fetal well-being, oxytocin is primarily used to stimulate uterine contractions.
C. Increased urinary output is not the primary effect of oxytocin; its main action is to stimulate uterine contractions.
D. Oxytocin is commonly used to induce or augment labor by stimulating contractions of the uterus.
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