Birth for the nulliparous client with a fetus in a breech ...

[lb_gilbert]

Birth for the nulliparous client with a fetus in a breech presentation is usually:
 
  a. cesarean section.
  b. vaginal birth.
  c. vacuumed extraction.
  d. forceps-assisted birth.

Question 2

Which action by the nurse prevents infection in the labor and birth area?
 
  a. Using clean techniques for all procedures
  b. Keeping underpads and linens as dry as possible
  c. Cleaning secretions from the vaginal area by using a back to front motion
  d. Performing vaginal examinations every hour while the client is in active labor

[nyrave]

Answer to Question 1

ANS: A
Birth for the nulliparous client with a fetus in breech presentation is almost always cesarean section. The greatest fetal risk in the vaginal birth of breech presentation is that the head (largest part of the fetus) is the last to be delivered. The birth of the rest of the baby must be quick so the infant can breathe. Serious trauma to maternal or fetal tissues is likely if the vacuum extractor birth is difficult. Most breech births are difficult. The health care provider may assist rotation of the head with forceps. A cesarean birth may be required.

Answer to Question 2

ANS: B
Bacterial growth prefers a moist, warm environment. Use an aseptic technique if membranes are not ruptured; use a sterile technique if membranes are ruptured. Vaginal drainage should be removed with a front to back motion to decrease fecal contamination. Vaginal examinations should be limited to decrease transmission of vaginal organisms into the uterine cavity.