The nurse is discussing birth options with a pregnant client. The client previously had a cesarean birth with a classical incision at 26 weeks' gestation but desires a vaginal birth with this pregnancy. What is the best response by the nurse?
"With a classical incision, there is an increased risk of uterine rupture in labor, so a vaginal birth is not usually recommended."
"This depends on whether your next baby is born at full term; if it is another preterm birth, then a repeat cesarean will be advised."
"There is a decreased risk for complications and easier recovery after a vaginal birth, so a vaginal birth will be recommended for you."
"As long as there is an 18-month interval for scar healing between births, a vaginal birth after cesarean is generally permitted."
The Correct Answer is A
A. A classical incision increases the risk of uterine rupture during labor, and a vaginal birth is not typically recommended due to this risk.
B. The type of incision, not the term of the subsequent birth, is the primary consideration for deciding on a mode of delivery.
C. A classical incision is associated with an increased risk of complications, not a decreased risk.
D. The recommendation for a vaginal birth after cesarean (VBAC) depends on factors such as the type of uterine incision and other clinical considerations, not just the time interval.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Absent variations would show no detectable fluctuations in the fetal heart rate.
B. Minimal variability would show minimal fluctuations in the fetal heart rate, with an amplitude range of less than 5 beats per minute.
C. Marked variability would show wide and pronounced fluctuations in the fetal heart rate, with an amplitude range greater than 25 beats per minute.
D. Fluctuations in the fetal heart rate are within a moderate range, between 6 and 25 beats per minute.
Correct Answer is ["67"]
Explanation
To calculate the flow rate in mL/hr, we need to use the following formula:
Flow rate (mL/hr) = Dose (g/hr) x Volume (mL) / Concentration (g)
In this case, the dose is 2 g/hr, the volume is 1000 mL, and the concentration is 30 g. Plugging these values into the formula, we get:
Flow rate (mL/hr) = 2 x 1000 / 30 Flow rate (mL/hr) = 66.67
To follow the rounding rules, we need to round this answer to the nearest whole number.
Therefore, the flow rate in mL/hr is 67.
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