A pregnant woman, gravida 2, para 1, tells the nurse she desires a VBAC (vaginal birth after cesarean section) with this pregnancy. What is the primary concern regarding complications for this patient during labor and birth?
a. Eclampsia
b. Placental abruption
c. Congestive heart failure
d. Uterine rupture
ANS: D
Nursing care for women who plan to have a VBAC is similar to that for women who have had no cesarean births. The main concern is that the uterine scar will rupture, which can disrupt the placental blood flow and cause hemorrhage. Observation for signs of uterine rupture should be part of the nursing care for all laboring women, regardless of whether they have had a previous cesarean birth.
You might also like to view...
The client who has been hospitalized for a fractured femur expresses surprise that she is so tired after sitting up in the chair for a short period of time. The nurse explains that:
1. Decreased mobility creates venous vasodilation and stasis. 2. Decreased mobility can interfere with the normal exchange of oxygen and carbon dioxide. 3. Decreased mobility can cause a negative calcium balance as a result of calcium loss from bone. 4. Decreased mobility causes decreases in muscular strength.
A nurse working with a pregnant woman who is a recent immigrant to the United States notes that her husband rarely accompanies her to prenatal visits, and when he does, he sits in the waiting room. What action by the nurse is best?
A. Ask the patient what role men in her culture play in pregnancy. B. Ask the woman why her husband doesn't seem involved. C. Encourage the man to participate in order to support his wife. D. Research the couple's cultural background and health beliefs.
Infants who experience nurturing environments develop the ability to:
a. Test others. b. Trust others. c. Manipulate others. d. Model others' behaviors.
A characteristic distinguishing primary Raynaud phenomenon from secondary Raynaud phenomenon includes which of the following?
a. Vasospasm. b. Digital ischemia with pain. c. Triphasic demarcated skin. d. Cold and achy improving with warming.