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.
NUrse :0
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