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.

Answer and Explanation

The Correct Answer is A

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Correct Answer is D

Explanation

While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.

A. Placing the woman in the knee-chest position. B. Starting oxygen by facemask. C. Preparing the woman for a vaginal birth. D. Covering the cord in sterile gauze soaked in saline.

Correct Answer is A

Explanation

In the case of a prolapsed umbilical cord, the first priority intervention is to relieve pressure on the cord. Placing the woman in the knee-chest position or Trendelenburg position with the hips elevated is the best way to achieve this. This position helps to reduce the compression of the cord and improve fetal oxygenation.
Option B is incorrect because while oxygen may be necessary, relieving pressure on the cord is the priority.
Option C is incorrect because a vaginal birth should not proceed with a prolapsed umbilical cord, as it can cause cord compression and fetal distress.
Option D is incorrect because covering the cord in sterile gauze soaked in saline is not a priority intervention and may not be effective in relieving pressure on the cord.

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Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

Correct Answer is D

Explanation

A pregnant woman's amniotic membranes rupture and a prolapsed umbilical cord is found. What intervention would be the first priority?

Correct Answer is A

Explanation

A pregnant woman is being discharged from the hospital after the placement of a cervical cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent cervix. Which information regarding postprocedural care should the nurse emphasize in the discharge teaching?

The nurse is assessing the knowledge of new parents with a child born with maple syrup urine disease (MSUD). This is an autosomal recessive inherited disorder, which means that:

On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to:

A woman in labor has just received an epidural black. The most important nursing intervention is to:

The nurse recognizes that a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is:

Fetal well-being during labor is assessed by:

You are the Special Care Nursery nurse reviewing the chart of a 36-hour-old neonate who was born at 36 weeks. Do you understand which of the following would place the neonate at risk for physiologic jaundice?

The nursery nurse attends the delivery of a post-term infant. Upon initial assessment, the infant is lethargic, has coarse breath sounds and blood gases indicate acidosis. An X-ray shows a honeycomb appearance. These signs are consistent with which complication of the newborn?