After being in labor for several hours with no progress, a ...

[jwb375]

After being in labor for several hours with no progress, a patient is diagnosed with CPD (cephalopelvic disproportion), and must have a cesarean section. The patient is worried that she will not be able to have any future children vaginally.
 
  After sharing this information with her care provider, the nurse would anticipate that the patient would receive what type of incision? 1. Transverse
  2. Suprapubic
  3. Classic
  4. Vertical

Question 2

The nurse is teaching a class on infant care to new parents. Which statement by a parent indicates that additional teaching is needed?
 
  1. The white spots on my baby's nose are called milia, and are harmless.
  2. The whitish cheeselike substance in the creases is vernix, and will be absorbed.
  3. The red spots with a white center on my baby are abnormal acne.
  4. Jaundice is a yellowish discoloration of skin that if noticed on the 1st day of life should be reported to the physician.

[raili21]

Answer to Question 1

1
Rationale 1: The lower uterine segment incision most commonly used for cesarean section is the transverse incision.
Rationale 2: The suprapubic incision is a type of vertical incision, which is associated with an increased risk of uterine rupture in subsequent pregnancies.
Rationale 3: The classic incision is a type of vertical incision, which is associated with an increased risk of uterine rupture in subsequent pregnancies.
Rationale 4: The vertical incision is associated with increased risk of uterine rupture in subsequent pregnancies, and so is not commonly used.

Answer to Question 2

3
Explanation: 3. Red spots with white or yellow centers are erythema toxicum. The peak incidence is at 24 to 48 hours of life. The condition rarely presents at birth or after 5 days of life. The cause is unknown, and no treatment is necessary.