Author Question: The nurse is reviewing charts of clients who underwent cesarean births by request in the last two ... (Read 90 times)

vicotolentino · **on:** Jun 27, 2018

The nurse is reviewing charts of clients who underwent cesarean births by request in the last two years. The hospital is attempting to decrease costs of maternity care.

What findings contribute to increased health care costs in clients undergoing cesarean birth by request? 1. Increased abnormal placenta implantation in subsequent pregnancies
2. Decreased use of general anesthesia with greater use of epidural anesthesia
3. Prolonged anemia, requiring blood transfusions every few months
4. Coordination of career projects of both partners leading to increased income

Question 2

The nurse is presenting a class to newly pregnant families. What form of trauma will the nurse describe as the leading cause of fetal and maternal death?

1. Falls
2. Domestic violence
3. Gun accidents
4. Motor vehicle accidents

potomatos · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
Rationale 1: Placenta implantation problems are more common after cesarean birth, and increase health care costs because of the high risk care and testing required.
Rationale 2: Which anesthesia method is used is not a significant factor in health care 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.
Rationale 3: This is not a complication of cesarean birth by request.
Rationale 4: The income of the couple does not affect health care costs directly.

Answer to Question 2

4
Explanation: 4. Trauma from motor vehicle accidents is the leading cause of fetal and maternal death.