The risk management nurse is reviewing labor and delivery ...

[joesmith1212]

The risk management nurse is reviewing labor and delivery statistics over the last 2 years in an effort to decrease costs of maternity care. What finding contributes to increased healthcare costs in clients undergoing cesarean birth by request?
 
  1. Prolonged anemia, requiring blood transfusions every few months
  2. Increased abnormal placenta implantation in subsequent pregnancies
  3. Decreased use of general anesthesia with greater use of epidural anesthesia
  4. Coordination of career projects of both partners leading to increased income

Question 2

A client experiencing a difficult labor is going to have vacuum extraction to facilitate delivery. Which statement indicates that the client needs additional information about vacuum extraction assistance?
 
  1. The baby's head might have a bruise from the vacuum cup.
  2. The vacuum will be applied for a total of 10 minutes or less.
  3. I can stop pushing and just rest if the vacuum extractor is used.
  4. A small cup will be put onto the baby's head, and a gentle suction will be applied.

[miss.ashley]

Answer to Question 1

2
Explanation:
1. This is not a complication of cesarean birth by request.
2. Placenta implantation problems are more common after cesarean birth and increase healthcare costs because of the high-risk care and testing required.
3. Which anesthesia method is used is not a significant factor in healthcare costs of cesarean birth by request. The need for anesthesia, use of the operating suite, equipment use, personnel, and other factors are more responsible for greater costs of cesarean birth compared with vaginal birth.
4. The income of the couple does not affect healthcare costs directly.

Answer to Question 2

3
Explanation:
1. The vacuum extractor might leave a bruise on the scalp where the device is placed.
2. The vacuum extractor is applied to the scalp for up to 10 minutes total.
3. Vacuum extraction is an assistive delivery, and the client must continue with pushing efforts to accomplish the birth.
4. The vacuum extractor is a small cup-shaped device that is applied to the scalp.