A patient who had a previous cesarean birth asks the nurse if all ...

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A patient who had a previous cesarean birth asks the nurse if all future births must occur the same way. Which response should the nurse make to support the 2020 National Health Goals regarding cesarean births?
 
  A) All future births must be done through cesarean..
  B) Not if you fulfill the criteria for vaginal birth after cesarean..
  C) Your health care provider will let you know what kind of birth you can have..
  D) Most women prefer cesarean births because they are quicker and cause less pain..

Question 2

The nurse is caring for a patient recovering from a cesarean birth. Which assessment should the nurse make a priority for this patient?
 
  A) Breast filling
  B) Plan to breastfeed
  C) Abdominal texture
  D) Perineum for edema

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Answer to Question 1

B
Feedback:
To fulfill the 2020 National Health Goals regarding cesarean births and answer the patient's question, the nurse should respond that patients who fulfill the criteria for vaginal birth after cesarean should attempt a vaginal birth with subsequent children. All future births do not need to be done through cesarean. The patient has a voice with deciding the type of birth that she would prefer with each pregnancy. Most women do not prefer cesarean births. This type of birth might not take as long; however, it is a painful surgical procedure.

Answer to Question 2

C
Feedback:
After a cesarean birth, the nurse should assess the abdomen for softness. A hard, guarded abdomen is one of the first signs of peritonitis, a complication that may occur with any abdominal surgical procedure. Although important, breast filling does not lead to a life-threatening complication. Plans to breastfeed could have been determined prior to the cesarean birth. Because the baby was delivered through the abdomen, the perineum should not be edematous.