Author Question: The patient had a classical uterine incision for her cesarean birth. The nurse knows that the ... (Read 35 times)

tiara099 · **on:** Jun 28, 2018

The patient had a classical uterine incision for her cesarean birth. The nurse knows that the patient understands implications for future pregnancies that are secondary to her classical uterine incision when the patient states:

1. The next time I have a baby, I can try to deliver vaginally.
2. The risk of rupturing my uterus is too high for me to have any more babies.
3. Every time I have a baby, I will have to have a cesarean delivery.
4. I can only have one more baby.

Question 2

The nurse is reviewing charts of patients 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 healthcare costs in patients 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

Hdosisshsbshs · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Attempting a vaginal birth is contraindicated, and future births will be planned cesareans.
Rationale 2: Future pregnancies are not prohibited.
Rationale 3: A classical uterine incision is made in the upper uterine segment and holds an increased risk of rupture in subsequent pregnancy, labor, and birth.
Rationale 4: Future pregnancies are not limited to one.

Answer to Question 2

Correct Answer: 1
Rationale 1: Placenta implantation problems are more common after cesarean birth and increase healthcare 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 healthcare costs directly.