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."
3
Rationale:
1. Only low segment transverse uterine incisions are recommended for attempting a VBAC.
2. Abdominal skin incisions and uterine incisions are not always the same.
3. Recent media reports identifying risks of VBAC have reintroduced the debate regarding its safety.
4. VBAC should only be attempted in facilities that have 24-hour coverage of operating room staff and anesthesia.
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After delivery of a health baby, a 17-year-old is admitted to the postpartum unit. An appropriate nursing diagnosis for her at this time is "Risk for altered parenting related to knowledge deficit of newborn care"
Which of the following is most appropriate to include in the woman's discharge plan? A. Provide time for the woman to bathe her baby after she views a baby bath dem-onstration. B. Give the woman written information on bathing her baby. C. Tell the woman how to feed and bathe her baby. D. Advise her that all women instinctively know how to care for their babies.
The medical center quality improvement director issues a report on the "opportunity" costs of errors occurring in the organization. Which situation would be included in this report? Select all that apply
1. A patient sustained a fracture when he falls after being incorrectly restrained. 2. A laboratory test must be repeated because the technician ran the specimen incorrectly. 3. A medicine error necessitates that the patient be dialyzed. 4. The patient says, "A nurse nearly let me die, so I don't trust nurses anymore." 5. The physician enters discharge orders incorrectly and the patient spends another day in the hospital.
The nurse cautions the client receiving isosorbide dinitrate for treatment of angina that long-term use can lead to the development of:
A) Tolerance. B) Tachycardia. C) Hypotension. D) Urinary retention.
Site clearly has no receptors or nerves, but the client's pain experience is very real.
A. Neuropathic pain B. Intractable pain C. Phantom pain D. Psychogenic pain