What are the contraindications for a patient wanting to have a TOLAC?

History of uterine rupture.

Previous cesarean section for breech presentation.

Previous low transverse cesarean section birth.

Low-risk pregnancy.

Answer and Explanation

The Correct Answer is A

Choice A rationale

History of uterine rupture poses a significant risk for a trial of labor after cesarean (TOLAC) due to the potential recurrence of uterine rupture, which can be life-threatening for both mother and fetus.

Choice B rationale

Previous cesarean section for breech presentation is not a contraindication for TOLAC. Patients with prior cesarean deliveries can consider TOLAC if there are no additional risk factors.

Choice C rationale

Previous low transverse cesarean section birth is often considered suitable for TOLAC, as the lower segment incision has a lower risk of rupture compared to vertical or classical incisions.

Choice D rationale

Low-risk pregnancy alone is not a contraindication for TOLAC. It is essential to assess other factors such as uterine scarring, maternal health, and fetal status when considering TOLAC eligibility.

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Correct Answer is ["A","D"]

Explanation

Choice A rationale

Placing the mother in the knee-chest position helps relieve pressure on the umbilical cord, improving blood flow and oxygen delivery to the fetus.

Choice B rationale

Encouraging vigorous pushing can exacerbate the prolapse, reducing blood flow to the fetus and increasing the risk of complications.

Choice C rationale

Applying a warm compress to the umbilical cord is not effective in managing a prolapsed cord and does not improve fetal outcomes.

Choice D rationale

Administering oxygen to the mother increases the amount of oxygen delivered to the fetus, potentially mitigating the effects of the prolapse.

A. On days 13 to 17 of her menstrual cycle. B. Before going to bed every night. C. Every morning before arising. D. One hour following intercourse.

Correct Answer is C

Explanation

Choice A rationale

Checking basal temperature during specific days of the menstrual cycle does not provide as accurate an indication of ovulation as consistent daily measurements.

Choice B rationale

Checking temperature before bed may not accurately reflect basal body temperature due to daily activities affecting body temperature.

Choice C rationale

Basal body temperature should be measured every morning before arising, as this reflects the body’s lowest resting temperature and helps identify ovulation.

Choice D rationale

Checking temperature after intercourse may be affected by physical activity and does not provide an accurate basal temperature reading for ovulation tracking.

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What are the contraindications for a patient wanting to have a TOLAC?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which interventions are appropriate when managing a prolapsed umbilical cord during labor? (Select all that apply)

Correct Answer is ["A","D"]

Explanation

A nurse is instructing a female client about how to check basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?

Correct Answer is C

Explanation

A client is ordered 380 mL of packed red blood cells over 4 hours. What is the rate of infusion to be set on the IV pump? (Round to a whole number.) (Med math question, no options provided.)

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