Nursing care before a cesarean birth should include:
a. Injection of narcotic preoperative medications.
b. Full perineal shave preparation.
c. Straight catheterization to empty the bladder.
d. Administering a clear oral antacid.
D
General anesthesia may be needed unexpectedly for cesarean birth. An oral antacid neutra-lizes gastric acid and reduces potential lung injury if the woman vomits and aspirates gastric contents during anesthesia.
A narcotic at this point would put the fetus at high risk for respiratory distress.
Perineal preparation is not necessary for a cesarean section. Some agencies will do an abdo-minal prep just before the surgery.
The catheterization should be indwelling in order to keep the bladder small during the sur-gery.
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