Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?
Client who had a breech presentation in her last pregnancy and this pregnancy is a vertex presentation.
Client who dilated to 6 cm in her last delivery and failed to progress beyond this point after more than 5 hours of labor.
Client who had an emergency cesarean section because of fetal distress with a classical incision.
Diabetic client whose last infant was over 10 lbs., and the provider suspects this infant is larger due to the current ultrasound result.
The Correct Answer is A
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Assessing fetal heart rate (FHR) and maternal vital signs would be the highest priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy. This is because fetal distress or maternal instability may require immediate medical intervention, such as delivery via emergency cesarean section or blood transfusions, respectively.
Therefore, assessing the FHR and maternal vital signs will help to determine the urgency of the situation and guide the next steps in the management of the patient. Once the patient's condition has stabilized, performing venipuncture for hemoglobin and hematocrit levels, monitoring uterine contractions, and placing clean disposable pads to collect any drainage can be done as appropriate.
Correct Answer is C
Explanation
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