Author Question: A G2P1 woman wishes to have a trial of labor after a previous low-transverse cesarean delivery. What ... (Read 77 times)

nmorano1 · **on:** Jun 28, 2018

A G2P1 woman wishes to have a trial of labor after a previous low-transverse cesarean delivery. What factors would permit the woman to be allowed this trial of labor? (Select all that apply.)

A.
Adequate pelvis size related to fetal size
B.
Desire to use epidural analgesia
C.
Patient free of any chronic illnesses
D.
No history of uterine abnormalities
E.
Physician available throughout the trial who is capable of performing a cesarean delivery

Question 2

The nurse explains to a class of nursing students that which of the following are the main predictors of medically indicated and elective cesarean birth? (Select all that apply.)

A.
Use of assisted reproductive technology
B.
Induced labor before 39 weeks of gestation
C.
Maternal age greater than 35
D.
Multiple-gestation pregnancy
E.
Native American ethnicity

cclemon1 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, D, E
Criteria for allowing a trial of labor include one previous cesarean birth (if two prior cesarean births, only those who have also had a vaginal birth should be allowed a trial of labor), no history of uterine abnormalities, an available physician who is present during the active phase of the labor trial and who is capable of monitoring and performing an emergency cesarean delivery, and availability of other personnel such as an anesthesiologist. Epidural analgesia may be used as part of a trial of labor after cesarean. Absence of any chronic illnesses is not a criterion.

Answer to Question 2

ANS: A, B, C, D
The main predictors of elective or medically indicated cesarean births are assisted reproductive technology, induced labor prior to 39 weeks' gestation, maternal age older than 35, and multiple-gestation pregnancy (especially higher-order multiples). Native Americans have only a 28 rate of cesarean delivery, the lowest among major ethnic groups.