Introduction
Introduction ( 10 Questions)
A nurse is teaching a prenatal class about the indications for cesarean delivery.
The nurse should include that which of the following conditions can lead to a cesarean delivery? (Select all that apply.)
cephalopelvic disproportion (CPD) means that the baby’s head or body is too large to fit through the mother’s pelvis. This can cause prolonged or obstructed labor and fetal distress.
gestational hypertension (high blood pressure during pregnancy) is not a direct indication for a cesarean delivery. However, it can be associated with other complications such as preeclampsia, placental abruption or fetal growth restriction that might require a cesarean delivery.
fetal malposition means that the baby is not in the optimal position for vaginal delivery. This includes breech (feet or buttocks first), transverse (sideways) or oblique (diagonal) presentations. These can increase the risk of cord prolapse, fetal injury or uterine rupture.
placenta abruption means that the placenta separates from the uterine wall before delivery. This can cause severe bleeding, fetal hypoxia or stillbirth. A cesarean delivery is usually performed to save the mother and the baby.
cord prolapse means that the umbilical cord slips through the cervix ahead of the baby. This can compress the cord and cut off the blood supply to the baby. A cesarean delivery is usually performed as an emergency to prevent fetal death.
The correct answer is choice A, C, D and E. These are all conditions that can lead to a cesarean delivery.
Choice A is correct because cephalopelvic disproportion (CPD) means that the baby’s head or body is too large to fit through the mother’s pelvis. This can cause prolonged or obstructed labor and fetal distress.
Choice B is wrong because gestational hypertension (high blood pressure during pregnancy) is not a direct indication for a cesarean delivery. However, it can be associated with other complications such as preeclampsia, placental abruption or fetal growth restriction that might require a cesarean delivery.
Choice C is correct because fetal malposition means that the baby is not in the optimal position for vaginal delivery.
This includes breech (feet or buttocks first), transverse (sideways) or oblique (diagonal) presentations. These can increase the risk of cord prolapse, fetal injury or uterine rupture.
Choice D is correct because placenta abruption means that the placenta separates from the uterine wall before delivery.
This can cause severe bleeding, fetal hypoxia or stillbirth. A cesarean delivery is usually performed to save the mother and the baby.
Choice E is correct because cord prolapse means that the umbilical cord slips through the cervix ahead of the baby.
This can compress the cord and cut off the blood supply to the baby. A cesarean delivery is usually performed as an emergency to prevent fetal death.