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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."

Answer and Explanation

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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Correct Answer is B

Explanation

A. Industry vs. inferiority is relevant to the age range of 6 to 12 years, focusing on the development of competence and mastery in skills. However, it may not be as directly related to the immediate care following an asthma exacerbation.

B. Initiative vs. guilt is the stage where a child starts to take more initiative and responsibility for their own actions. Planning home care involves encouraging the child to take initiative in
managing their asthma, promoting a sense of control over their health.

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.

A. Place client on her left side B. Notify RN immediately C. Document the time and color of fluid D. Check fetal heart tones

Correct Answer is B

Explanation

A. Placing the client on her left side is important for optimizing fetal oxygenation but is not the first action when there is a report of a gush of fluid.
B. Notifying the registered nurse (RN) immediately is the first action to ensure prompt assessment and appropriate interventions for possible ruptured membranes.
C. Documenting the time and color of the fluid is important, but immediate notification of the RN takes precedence.
D. Checking fetal heart tones is important but should be done in conjunction with notifying the RN to assess the overall situation and determine the appropriate course of action.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following of Erikson’s developmental stages should the nurse consider in the planning?

Correct Answer is B

Explanation

The nurse is assisting a pregnant patient into bed after the patient reports a gush of fluid from the vagina. Which action will the nurse take first?

Correct Answer is B

Explanation

The nurse is caring for a client in labor. Which process will the nurse use to determine the duration of contractions?

The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced. The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

A nurse is providing care for a client experiencing postpartum hemorrhage. Which medications may be prescribed by the provider? Select all that apply.

The nurse assesses the postpartum client's fundal height and tone in the first 24 hours. Which action will the nurse take to correctly assess the uterine fundus?

The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced. The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

A postpartum client has continuous seepage of bright red blood from the vagina. The nurse completes an assessment and finds a firm uterus, 1 cm below the umbilicus, and midline. What does the nurse suspect is the reason for the bleeding?