Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?
Client who had a breech presentation in her last pregnancy and this pregnancy is a vertex presentation.
Client who dilated to 6 cm in her last delivery and failed to progress beyond this point after more than 5 hours of labor.
Client who had an emergency cesarean section because of fetal distress with a classical incision.
Diabetic client whose last infant was over 10 lbs., and the provider suspects this infant is larger due to the current ultrasound result.
The Correct Answer is A
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Nifedipine is a calcium channel blocker that can cause hypotension as a side effect, so the client should be advised to rise slowly from a sitting or lying position to avoid dizziness or fainting. The client does not necessarily need to be hospitalized and should continue taking the medication until a healthcare provider advises otherwise. The medication is typically continued until around 36-37 weeks gestation. There is no need to monitor respiratory rate with this medication.
Correct Answer is B
Explanation
Bedrest is no longer recommended as it does not improve outcomes and may increase the risk of complications such as thromboembolism and pneumonia. Instead, patients with a placenta previa should be advised to avoid activities that may increase pelvic pressure, such as sexual intercourse, heavy lifting, and strenuous exercise. The other options are appropriate instructions to include in the patient's discharge plan.
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