The nurse is caring for a woman who is undergoing an induction with oxytocin (Pitocin). The nurse explains to a nursing student that contraindications to labor induction include which of the following? (Select all that apply.)
A.
Active genital herpes infection
B.
Breech presentation
C.
History of a myomectomy
D.
Severe hypertension
E.
Vasa previa or complete placenta previa
ANS: A, C, E
Absolute contraindications for induction of labor include vasa previa or complete placenta previa, transverse fetal lie, umbilical cord prolapse, previous classical cesarean delivery, active genital herpes infection, and previous myomectomy. Breech presentation and severe hypertension are relative contraindications, meaning that induction is possible, but caution should be exercised.
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Indicate whether the statement is true or false
A client is consulting a certified nurse–midwife because she is hoping for a vaginal birth after cesarean (VBAC) for this pregnancy. Which statement indicates that the client requires more in-formation about VBAC?
1. "I can try a vaginal birth because my uterine incision is a low segment transverse incision." 2. "The vertical scar on my skin doesn't mean that the scar on my uterus goes in the same direc-tion." 3. "There is about a 90% chance of giving birth vaginally after a cesarean." 4. "Because my hospital has a surgery staff on call 24 hours a day, I can try a VBAC there."
The client who is performing intermittent self-catheterization at home is concerned about the cost of the catheters. What is the nurse's best response?
a. "I will try to find out whether you qualify for money to purchase these necessary supplies." b. "Even though it is expensive, the cost of taking care of urinary tract infections would be even higher." c. "Instead of purchasing new catheters, you can boil the catheters and reuse them up to 10 times each." d. "You can reuse the catheters at home. Clean technique, rather than sterile tech-nique, is acceptable."
Anecdotal notes:
a. Should be completed only when there are performance concerns. b. Can be used to support and justify fairness in termination discussions. c. Are unnecessary if the evaluation instrument is thorough. d. Need to be completed at the end of a performance period.