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 C

Explanation

Hand hygiene is one of the most important infection prevention strategies in the NICU, and parents and visitors should be encouraged to wash their hands frequently, especially before touching the newborn. While wearing gloves can provide an additional barrier against infection, it is not a substitute for hand hygiene. Family members should be encouraged to visit and bond with their newborn, but they should be taught proper infection prevention measures to protect the infant's health. Avoiding direct contact with the newborn is not necessary as long as appropriate infection-prevention measures are taken.

A. unrepaired lacerations of the vagina or cervix. B. retained placental fragments. C. vaginal or vulvar hematomas. D. failure of the uterine muscle to contract firmly.

Correct Answer is D

Explanation

The most common cause of excessive blood loss after childbirth is the failure of the uterine muscle to contract firmly, which is also known as uterine atony. If the uterus does not contract effectively after delivery, it cannot properly close off the blood vessels that were connected to the placenta, leading to heavy bleeding. Uterine atony can occur due to various factors, such as prolonged labor, multiple births, or the use of certain medications during labor.
Other causes of excessive blood loss after childbirth include retained placental fragments, vaginal or vulvar hematomas, or unrepaired lacerations of the vagina or cervix, but these are less common than uterine atony.

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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

The NICU nurse observes the parents of a newborn admitted two days ago for prematurity. The nurse knows infection prevention education has been effective when which observation is made:

Correct Answer is C

Explanation

Excessive blood loss after childbirth can have several causes; the most common is:

Correct Answer is D

Explanation

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