A patient having a cesarean birth will have a low segment ...

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A patient having a cesarean birth will have a low segment incision. What should the nurse explain to the patient as an advantage for this type of incision?
 
  A) The uterine incision will be vertical.
  B) Vaginal deliveries can occur with future births.
  C) Because the cervix is cut, the operation proceeds rapidly.
  D) Because the fundus of the uterus is cut, the infant can be resuscitated rapidly.

Question 2

The fetus of a patient who is 30 weeks pregnant is failing to thrive in utero. The health care provider wants to deliver the fetus through cesarean birth today. The patient asks why this approach is preferred over a vaginal delivery.
 
  What should the nurse respond to the patient? A) You will have reduced pain afterward..
  B) There's not an advantage; it's just more convenient..
  C) Cesarean birth allows the placenta to deliver easier..
  D) Cesarean birth will reduce pressure on the immature head..

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Answer to Question 1

B
Feedback:
Because a low segment incision is through the nonactive portion of the uterus, it is less likely to rupture in subsequent labors, making it possible for a woman to have a vaginal birth after cesarean with a future pregnancy. This type of incision is not vertical. The cervix is not cut with this type of incision. This type of incision has no impact on the ability to resuscitate the infant if necessary.

Answer to Question 2

D
Feedback:
A cesarean delivery may be advantageous for a preterm birth to avoid pressure on the fetal head. A cesarean birth does not reduce the amount of postpartum pain. The health care provider does not want to use a cesarean birth because it is more convenient. A cesarean birth does not necessarily allow the placenta to deliver easier.

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