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 C

Explanation

Infants of diabetic mothers (IDM) are at risk of hypoglycemia because they have been exposed to high levels of glucose in utero. The fetus responds to this high glucose level by producing high levels of insulin to regulate the glucose level. After delivery, the glucose supply from the mother is cut off and the infant's insulin levels remain high, leading to hypoglycemia.

Additionally, the infant's ability to produce glucose is immature and may not be sufficient to maintain normal blood glucose levels, especially if the infant is premature or small for gestational age. Therefore, IDM requires close monitoring of their blood glucose levels to prevent and treat hypoglycemia.

A. At the maternal umbilicus. B. Over the symphysis pubis. C. Lower left quadrant of the abdomen. D. At the fundus of the uterus.

Correct Answer is B

Explanation

Suprapubic pressure aids in the delivery of the fetal shoulders, and delivery of the fetal head. to control postpartum hemorrhage and to assess uterine tone after delivery.

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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 major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

Correct Answer is C

Explanation

The nurse anticipates the vaginal delivery of a client who has been induced for macrosomia. The provider asks the nurse to apply suprapubic pressure. The nurse knows that suprapubic pressure is applied:

Correct Answer is B

Explanation

A nurse is developing goals for a community education program. Which of the following methods should be used?

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A 25-year-old woman with Type II Diabetes Mellitus should be educated on all the following regarding preconception care, except:

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