A pregnant woman, gravida 2, para 1, tells the nurse she desires ...

[ghost!]

A pregnant woman, gravida 2, para 1, tells the nurse she desires a VBAC (vaginal birth after cesarean section) with this pregnancy. What is the primary concern regarding complications for this patient during labor and birth?
 
  a. Eclampsia
  b. Placental abruption
  c. Congestive heart failure
  d. Uterine rupture

Question 2

While caring for an Arab woman in labor, the nurse should provide cultural sensitivity through which interventions? (Select all that apply.)
 
  a. Provide for extreme modesty.
  b. Assign a male caregiver.
  c. Arrange for the husband/partner to participate in labor.
  d. Provide adequate pain control.
  e. Respect protective amulets.

[jsm54321]

Answer to Question 1

ANS: D
Nursing care for women who plan to have a VBAC is similar to that for women who have had no cesarean births. The main concern is that the uterine scar will rupture, which can disrupt the placental blood flow and cause hemorrhage. Observation for signs of uterine rupture should be part of the nursing care for all laboring women, regardless of whether they have had a previous cesarean birth.

Answer to Question 2

ANS: A, D, E
Arab women are extremely modest, usually have a low pain tolerance, and wear various protective and religious amulets. The husband is in attendance but not as a participant. Arabs prefer female caregivers. If a male is in attendance, then the husband will remain in the room as long as the male is there.