Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?
A. Client who had a breech presentation in her last pregnancy and this pregnancy is a vertex presentation.
B. Client who dilated to 6 cm in her last delivery and failed to progress beyond this point after more than 5 hours of labor.
C. Client who had an emergency cesarean section because of fetal distress with a classical incision.
D. Diabetic client whose last infant was over 10 lbs., and the provider suspects this infant is larger due to the current ultrasound result.
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Full Explanation
Similar Questions
The nurse is caring for a term gestation pregnant patient who came into the office for an external cephalic version. Which of the following interventions would not be appropriate for this patient?
A. Verify the patient's blood type and prepare RhoGAM † necessary.
B. Have the patient ambulate before the procedure to see if the baby will turn.
The patient should not be ambulating before the procedure as this may cause fetal descent and prevent the success of the version. The other interventions listed are appropriate and important for the safety and well-being of the patient and the fetus during the procedure.
C. Have the patient empty her bladder before the procedure.
D. Assess for contractions and fetal heart rate pattern before the procedure.
Full Explanation
The patient should not be ambulating before the procedure as this may cause fetal descent and prevent the success of the version. The other interventions listed are appropriate and important for the safety and well-being of the patient and the fetus during the procedure.
You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?
A. I need to start an American Diabetic Association (ADA) diet“
B. l am at higher risk for a cesarean section delivery
C. I am worried about getting diabetes later in life!
D. "My baby is more at risk for cardiac defects”
While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.
Full Explanation
While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.
A 25-year-old woman with Type II Diabetes Mellitus should be educated on all the following regarding preconception care, except:
A. It includes close monitoring of the patient's blood sugar for one month prior to pregnancy
B. It involves a multidisciplinary care team approach.
C. It can help the patient plan the optimal time to become pregnant.
D. It is recommended for all diabetic women of childbearing age.
It is recommended for all diabetic women of childbearing age. (This statement is not entirely accurate as preconception care is recommended specifically for women with diabetes who are considering pregnancy, not all women of childbearing age.)
Full Explanation
It is recommended for all diabetic women of childbearing age. (This statement is not entirely accurate as preconception care is recommended specifically for women with diabetes who are considering pregnancy, not all women of childbearing age.)