The client is instructing a client recovering from a classic uterine incision for a cesarean birth. Which statement indicates that the client understands implications for future pregnancies that are secondary to this type of incision?
1. "I can only have one more baby."
2. "The next time I have a baby, I can try to deliver vaginally."
3. "Every time I have a baby, I will have to have a cesarean delivery."
4. "The risk of rupturing my uterus is too high for me to have any more babies."
3
Explanation:
1. Future pregnancies are not limited to one.
2. Attempting a vaginal birth is contraindicated, and future births will be planned cesareans.
3. A classic uterine incision is made in the upper uterine segment and holds an increased risk of rupture in subsequent pregnancy, labor, and birth.
4. Future pregnancies are not prohibited.
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Max says, "Nurse, see that man on the television? He is the reason why I am sick. He told them to make me this way." The nurse documents this as an episode of a(n):
A. Hallucination. B. Delusion. C. Illusion. D. Autistic thought.
Safety measures for young adults and adolescents focus primarily on:
a. preventing injury secondary to physical infirmity or effects of medications b. prevention of injury and education related to lifestyle choices and high-risk behaviors c. providing adult supervision of activities d. providing safety education related to stranger awareness
The nurse is instructing a new mother on the strategies to prevent the development of postpartum depression. Which instructions will the nurse include in the teaching session with the client?
Select all that apply. A) Restrict fluids and eat a low-fat diet help to avoid the onset of postpartum depression. B) Realize that feeling depressed after delivering a baby is normal and can last for months. C) The only way to avoid postpartum depression is to not have children. D) Encourage the client to plan how to manage the baby's care needs at home to help adjust to motherhood. E) Instruct the client to recognize the signs and symptoms of postpartum depression and phone the health care provider if these occur.
The mother of a 9-year-old girl voices concern to the nurse regarding her daughter's breast development and breast tenderness. The nurse's best response to the mother is:
1. "I understand your concern. 9 years old is very young for your daughter's breasts to be developing. Children this age are not equipped to deal with these changes.". 2. "I will let her primary care provider know that an exam is necessary due to your daughter's symptoms.". 3. "I wouldn't worry about it unless the tenderness continues or worsens.". 4. "Breast enlargement and tenderness is common between the ages of 9 to 13, but I will inform her primary care provider of your concerns.".