The culturally competent nurse recognizes that health ...

[madam-professor]

The culturally competent nurse recognizes that health implications of female genital mutilation can include: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. Hemorrhage.
  2. HIV transmission.
  3. Chronic urinary infections.
  4. Increased sexual pleasure.
  5. Easier childbirth.

Question 2

A patient is consulting a certified nurse-midwife because she is hoping for a vaginal birth after cesarean (VBAC) with this pregnancy. Which statement indicates that the patient requires more information 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 direction.
  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.

[dudman123]

Answer to Question 1

1,2,3
Rationale 1: Hemorrhage is the most common immediate complication of all the female genital mutilation procedures done.
Rationale 2: HIV transmission can occur from female genital mutilation in developing countries where the instruments are not sterile.
Rationale 3: Chronic urinary infections caused by inadequate emptying of the bladder are common with female genital mutilation.
Rationale 4: Many infibulated women experience pain during sexual intercourse (dyspareunia).
Rationale 5: Infibulation-related complications associated with childbirth include obstructed labor, nonreassuring fetal status, postpartum hemorrhage, and postpartum sepsis.

Answer to Question 2

3
Rationale 1: Only low segment transverse uterine incisions are recommended for attempting a VBAC.
Rationale 2: Abdominal skin incisions and uterine incisions are not always the same.
Rationale 3: The highest success rates for VBAC are 60 to 80, and occur among women whose previous cesarean was performed because of nonrecurring indications.
Rationale 4: VBAC should be attempted only in facilities that have 24-hour coverage of operating room staff and anesthesia.

[madam-professor]

Excellent

[bdobbins]

Gracias!