Summary
Summary ( 20 Questions)
A nurse is counseling a client who has a small pelvis and wants to have a vaginal delivery.
Which of the following factors should the nurse consider when discussing the possibility of vaginal birth after cesarean (VBAC)?
it is not the only factor that matters for VBAC.
it is not the only factor that matters for VBAC.
it is not the only factor that matters for VBAC.
All of the above factors should be considered when discussing the possibility of vaginal birth after cesarean (VBAC).
All of the above factors should be considered when discussing the possibility of vaginal birth after cesarean (VBAC).
Here’s why:
• The type of uterine incision used in the previous cesarean delivery affects the risk of uterine rupture during VBAC. A low transverse incision is associated with the lowest risk, while a high vertical incision is associated with the highest risk.
• The gestational age of the current pregnancy affects the success rate of VBAC. The optimal time for VBAC is between 39 and 40 weeks of gestation. Attempting VBAC before 37 weeks or after 41 weeks may increase the risk of complications.
• The presentation and position of the fetus affects the feasibility and safety of VBAC. A breech presentation, a transverse lie, or a posterior position may make vaginal delivery difficult or impossible. A cephalic presentation and an anterior position are more favorable for VBAC.