In planning for an expected cesarean birth for a woman who has given birth by cesarean previously and who has a fetus in the transverse presentation, which information would the nurse include?
a. "Because this is a repeat procedure, you are at the lowest risk for complications."
b. "Even though this is your second cesarean birth, you may wish to review the preoperative and postoperative procedures."
c. "Because this is your second cesarean birth, you will recover faster."
d. "You will not need preoperative teaching because this is your second cesarean birth."
ANS: B
"Even though this is your second cesarean birth, you may wish to review the preoperative and postoperative procedures" is the most appropriate statement. It is not accurate to state that the woman is at the lowest risk for complications. Both maternal and fetal risks are associated with every cesarean section. "Because this is your second cesarean birth, you will recover faster" is not an accurate statement. Physiologic and psychologic recovery from a cesarean section is multifactorial and individual to each client each time. Preoperative teaching should always be performed, regardless of whether the client has already had this procedure.
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