During admission, a laboring patient tells the nurse, "I'm so afraid I'll need a cesarean section. I don't want to be asleep for surgery when my baby is born!" Which of the following nursing responses is most appropriate?
1. "If a cesarean section is needed, that doesn't necessarily mean you'll need to go to sleep for surgery."
2. "Your anesthesia provider will require that you go to sleep for surgery."
3. "We'll do our best to make sure you deliver vaginally, so you don't need to have a cesarean section."
4. "If you need a cesarean section, the anesthesia provider will awaken you as soon as possible after delivery so that you can see your baby quickly."
Correct Answer: 1
Rationale 1: While general anesthesia may be needed for cesarean birth and for surgical intervention with some complications, in modern obstetrics, general anesthesia is used in less than 1% of all obstetric births.
Rationale 2: General anesthesia may be needed for cesarean birth and for surgical intervention with some complications. However, in modern obstetrics, spinal anesthesia is often administered for delivery via cesarean section, while general anesthesia is used in less than 1% of all obstetric births.
Rationale 3: Reassuring the patient in this manner does not address the erroneous belief that general anesthesia is mandatory for women undergoing cesarean section.
Rationale 4: Reassuring the patient in this manner does not address the erroneous belief that general anesthesia is mandatory for women undergoing cesarean section.
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