Author Question: Approximately 60 to 80 of women with one low transverse uterine incision from a previous cesarean ... (Read 52 times)

dalyningkenk · **on:** Jun 27, 2018

Approximately 60 to 80 of women with one low transverse uterine incision from a previous cesarean birth may have a successful vaginal delivery. Recommendations from ACOG related to VBAC risks include (select all that apply)

a. Immediate availability of the obstetric provider
b. Delivery at a tertiary care center
c. Availability of anesthesia personnel
d. Personnel who can assist with the cesarean birth
e. Use of misoprostol for cervical ripening

Question 2

Induction of labor is considered an acceptable obstetric procedure if it is a safe time to deliver the fetus.

The charge nurse on the labor and delivery unit is often asked to schedule patients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction, including which of the following? Select all that apply. a. Rupture of membranes at or near term
b. Convenience of the woman or her physician
c. Chorioamnionitis (inflammation of the amniotic sac)
d. Postterm pregnancy
e. Fetal death

Madisongo23 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, C, D
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Correct A VBAC delivery should only be attempted with the obstetric provider in
house, and anesthesia along with operative personnel readily available to
perform a cesarean birth.
Incorrect VBAC deliveries may be done in community hospitals if appropriate
policies and guidelines for care are in place. Misoprostol administration is
contraindicated in a patient with a previous uterine scar.

Answer to Question 2

A, C, D, E
Feedback
Correct A, C, D, E. These are all acceptable indications for induction. Other
conditions include intrauterine growth retardation (IUGR), maternal-fetal
blood incompatibility, hypertension, and placental abruption.
Incorrect B. Elective inductions for convenience of the woman or her provider are
not recommended; however, they have become common. Factors such as
rapid labors and living a long distance from a health care facility may be a
valid reason in such a circumstance.