A client is consulting a certified nurse-midwife because she is ...

[HudsonKB16]

A client 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 client 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.

Question 2

The nurse examines the patient's placenta and finds that the umbilical cord is inserted at the placental margin. The patient comments that the placenta and cord look different than they did for her first two births.
 
  The nurse should explain that this variation in placenta and cord is called a: 1. Placenta accreta.
  2. Circumvallate placenta.
  3. Succenturiate placenta.
  4. Battledore placenta.

[fur]

Answer to Question 1

3
Explanation: 3. Women whose previous cesarean was performed because of nonrecurring indications have been reported to have approximately a 60 to 80 chance of success with VBAC.

Answer to Question 2

4
Rationale 1: Placenta accreta is a placenta that grows into the uterine wall.
Rationale 2: A circumvallate placenta has a fold of the amnion and chorion on the placental surface.
Rationale 3: In succenturiate placenta, at least one extra lobe is attached to the edge of the placenta.
Rationale 4: In battledore placenta, the cord is inserted at or near the edge of the placenta.

[HudsonKB16]

Excellent

[raili21]

Gracias!