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

This tool helps in assessing the severity of withdrawal symptoms in infants who were exposed to opioids during pregnancy. Based on the Finnegan score, the nurse can implement appropriate interventions to manage the symptoms and prevent complications. While offering the infant a pacifier with a drop of mom's breast milk or tightly swaddling the infant may be helpful for soothing the infant, these interventions may not directly address the underlying hyperreflexia associated with opioid withdrawal. Placing the infant under a radiant warmer is not indicated for managing hyperreflexia.

A. massage the woman's fundus. B. Begin an intravenous (IV) infusion of Ringer's lactate solution. C. Call the woman's primary health care provider. D. Assess the woman's vital signs.

Correct Answer is A

Explanation

The nurse's first action should be to massage the woman's fundus. A completely saturated perineal pad within 15 minutes after giving birth indicates excessive bleeding, which is also known as postpartum hemorrhage (PPH). Massaging the uterus (fundus) can help it to contract, reduce bleeding, and prevent further blood loss. Once the fundus has been massaged, the nurse should assess the woman's vital signs and continue to monitor her for signs of continued bleeding. If bleeding persists despite massage, the nurse should begin an intravenous (IV) infusion of Ringer's lactate solution and call the woman's primary healthcare provider.

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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

An infant is in the NICU whose mother was addicted to opioids during pregnancy. The nurse knows that the most appropriate nursing intervention to help with the infant's hyperreflexia is:

Correct Answer is C

Explanation

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:

Correct Answer is A

Explanation

During this phase of a disaster, evaluation of the disaster plan and cleanup of the area are hallmark activities.

The nurse anticipates the vaginal delivery of a client who has been induced for macrosomia. The provider asks the nurse to apply suprapubic pressure. The nurse knows that suprapubic pressure is applied:

A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to:

The nurse is providing education for a patient who has been newly diagnosed with a placenta previa at 37 weeks' gestation. The nurse understands that teaching has not been effective when the patient states:

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?

Which of the following complications is not associated with cesarean births?

A public health nurse in a large city is planning and developing strategies to disseminate information to residents about infant safe sleep practices. Which of the following best exhibits the nurse's understanding of effective health communication in the community?

A client has completed the 3-hour oral glucose tolerance test (GTT) after failing the initial screening. The nurse notes the client has failed the 2-hour and 3-hour tests. The nurse anticipates that the client will: