A cesarean section would be most appropriate for which of the following clients?

History of cesarean section for fetal distress.

Fear of natural childbirth.

Current pregnancy is complicated by gestational diabetes.

History of cephalopelvic disproportion with first pregnancy.

Answer and Explanation

The Correct Answer is A

A history of cesarean section for fetal distress is an indication for a repeat cesarean section in subsequent pregnancies, as the risk of recurrence of fetal distress is higher. A trial of labor after cesarean (TOLAC) may be attempted in some cases, but a planned cesarean section is often recommended.
Option B is incorrect because fear of natural childbirth is not a medical indication for a cesarean section.
Option C is incorrect because gestational diabetes does not typically require a cesarean section unless other complications arise, such as fetal macrosomia or failed induction of labor.
Option D is incorrect because a history of cephalopelvic disproportion with the first pregnancy may not necessarily require a cesarean section in subsequent pregnancies. A trial of labor may be attempted, depending on the circumstances.

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Correct Answer is B

Explanation

The Web of Causation model would be best for studying the complex relationships among factors that contribute to chronic disease. This model recognizes that chronic diseases result from the interplay of multiple factors at different levels, including individual, environmental, and societal factors. The model illustrates the complexity of these relationships and can help identify potential points for intervention.

A. Client who had a breech presentation in her last pregnancy and this pregnancy is a vertex presentation. B. Client who dilated to 6 cm in her last delivery and failed to progress beyond this point after more than 5 hours of labor. C. Client who had an emergency cesarean section because of fetal distress with a classical incision. D. Diabetic client whose last infant was over 10 lbs., and the provider suspects this infant is larger due to the current ultrasound result.

Correct Answer is A

Explanation

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A cesarean section would be most appropriate for which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following methods would be best if the nurse wanted to study the complex relationships among factors that contribute to chronic disease?

Correct Answer is B

Explanation

Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?

Correct Answer is A

Explanation

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