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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Stop the oxytocin infusion: Oxytocin should be stopped immediately to prevent hyperstimulation of the uterus, which can lead to fetal distress or uterine rupture.
B. Turn her on her left side and reassess the contractions: While this position can improve fetal oxygenation, it does not address the root cause, which is uterine hyperstimulation.
C. Continue the infusion and report the findings to the physician: Unsafe action as uterine hyperstimulation poses significant risks.
D. Administer oxygen by mask: Oxygen may be needed but is not the priority. Stopping the oxytocin is the first step.
Correct Answer is D
Explanation
A. Help the client to the bathroom to empty the bladder: It is unsafe to ambulate a client in active labor who feels the urge to push; crowning must first be ruled out.
B. Assist the client to a comfortable position: Comfort is important, but immediate assessment for crowning takes priority to prepare for delivery.
C. Assess the perineum for signs of crowning: While this is an important assessment, the immediate action to take when the client feels the urge to push is to instruct her to pant to prevent premature pushing.
D. Have the client pant during the next few contractions: Panting helps the patient avoid pushing before full dilation is achieved, reducing the risk of complications such as cervical lacerations or fetal distress. This technique helps manage the urge to push until the cervix is fully dilated.
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