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.

Nursing

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The nurse is reviewing normal cardiac conduction with a new graduate nurse. What will the nurse teach when the impulse reaches the bundle of His? Note: Credit will be given only if all correct choices and no incorrect choices are selected

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a. avoid forcing the issue. b. bring up the issue at the community meeting. c. calmly tell the patient, "You must bathe daily." d. firmly and neutrally assist the patient with showering.

Nursing