A client whose first child was delivered by cesarean section is 20 weeks pregnant with her second child and wishes to have a vaginal birth after cesarean (VBAC). What information is most important for the practical nurse (PN) to obtain?
Client's intent regarding breastfeeding of the newborn.
The type of uterine incision used for previous birth.
History of contracting Herpes simplex virus.
Religious preference of the client's family.
The Correct Answer is B
Knowing the type of uterine incision from the previous cesarean section is crucial when considering the option of vaginal birth after cesarean (VBAC). The type of incision can provide important insights into the potential risks and complications associated with a trial of labor.
Specifically, a low transverse uterine incision is considered the most favorable for VBAC, as it has a lower risk of uterine rupture compared to other types of incisions, such as a classical or vertical incision.
A. While information about the client's intent regarding breastfeeding of the newborn is important for providing appropriate support and education, it does not have a direct impact on the decision-making process for VBAC.
C. A history of contracting Herpes simplex virus is relevant to the client's overall health and may have implications for the management of the pregnancy, but it is not directly related to the decision regarding VBAC.
D. The religious preference of the client's family, while important for respecting cultural and spiritual beliefs, does not have a direct impact on the decision-making process for VBAC.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
The PN should instruct the UAP to observe and report any ear drainage after removing the device, as this may indicate an infection or irritation of the ear canal. The PN should also instruct the UAP to verify that the device is labeled with client's identification, as this can prevent mix-ups or misplacement of the device. The PN should also instruct the UAP to remove ear wax from the device's surface, as this can improve the sound quality and prevent damage to the device.
The other options are not correct because:
a. Keeping the battery door closed during storage is not a correct instruction, as it can drain the battery and shorten its life span. The PN should instruct the UAP to keep the battery door open during storage, as this can conserve the battery power and prevent corrosion.
c. Storing the device on the window sill to prevent loss is not a correct instruction, as it can expose the device to heat, moisture, or sunlight, which can damage its components or affect its function. The PN should instruct the UAP to store the device in a dry, cool, and safe place, such as a case or a drawer.
Correct Answer is B
Explanation
The patient experienced a sudden guard while being assisted to the bathroom, which led to their hospitalization. The most appropriate action for the practical nurse (PN) in this situation is to prioritize the patient's safety and well-being. Returning the patient to bed and maintaining bed rest allows for stability and minimizes the risk of further complications or injury. By providing a safe and controlled environment, the PN can monitor the patient's condition and collaborate with the healthcare team to determine the appropriate course of action moving forward.
Options a), c), and d) are not relevant or appropriate in this context.
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