A nurse is caring for a client who wants to know it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?

“A repeat cesarean section would be safer for both you and your day.”

“The primary consideration is what type of incision you had.”

“There are so many variables that you'll have to ask your provider.”

“It's too soon for you to be worrying about that now.”

Answer and Explanation

The Correct Answer is B

A. "A repeat cesarean section would be safer for both you and your baby.": VBAC is often safe, depending on the uterine incision type. A blanket statement about safety is inaccurate.

B. "The primary consideration is what type of incision you had.": The type of uterine incision (e.g., low transverse) determines VBAC eligibility due to the risk of uterine rupture.

C. "There are so many variables that you'll have to ask your provider.": While consultation with a provider is important, this response lacks educational value.

D. "It's too soon for you to be worrying about that now.": This response dismisses the client’s concerns and is non-therapeutic.

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Correct Answer is B

Explanation

A. “We have a neonatal unit here equipped to handle emergencies.” While reassuring, it does not address the client’s emotions and may seem dismissive.

B. “You must be feeling very scared.” Acknowledges and validates the client’s emotions, fostering therapeutic communication.

C. “You are far enough along that your baby will be just fine.” Provides false reassurance without specific evidence, which is not appropriate.

D. “Everyone worries about their baby while they are in labor.” Generalizes the client’s feelings and may minimize their concerns.

A. How long the patient states the contractions last. B. The time between the end of one contraction and the beginning of the next. C. The time between the beginning and the end of one contraction. D. The time between the beginning of one contraction and the beginning of the next.

Correct Answer is D

Explanation

A. How long the patient states the contractions last: This measures contraction duration, not frequency.

B. The time between the end of one contraction and the beginning of the next: This measures the interval, not frequency.

C. The time between the beginning and the end of one contraction: This measures the contraction’s duration.

D. The time between the beginning of one contraction and the beginning of the next: This is the standard way to measure contraction frequency.

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A nurse is caring for a client who wants to know it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The client asks the nurse. "Will my baby be okay?" Which of the following responses should the nurse make?

Correct Answer is B

Explanation

What does the nurse note when measuring the frequency of a laboring woman’s contractions?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?

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