Question

A nurse is caring for a client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?

A "There are so many variables that you'll have to ask your provider".
Rationale- This illustrates the non therapeutic reply of putting the clients concerns on hold. A nurse in the labor and delivery suite or on the postpartum unit should be able to provide the client with information that answers the question.
B. "The primary consideration is what type of incision you had."
Rationale: A transverse incision (also known as a horizontal incision) cuts across the lower, thinner part of the uterus. It is used during most cesarean births and makes a VBAC possible. A vertical incision cuts up and down through the uterine muscles that strongly contract during labor and might cause uterine rupture during a VBAC.
C. "It's too soon for you to be worrying about that now."
Rationale: This nontherapeutic reply defers and devalues the client's concerns.
D. "A repeat cesarean section would be safer for both you and your baby."
Rationale: Research has shown that for most clients, VBAC is safe for both the mother and the baby.

Answer 1

A VBAC is possible depending on the type of incision made during the previous cesarean section. A transverse incision allows for VBAC, but a vertical incision may pose a risk of uterine rupture. Consultation with a healthcare provider is necessary.

Step-by-step explanation:

A vaginal birth after a cesarean birth (VBAC) is possible depending on the type of incision made during the previous cesarean section. A transverse incision, which cuts across the lower part of the uterus, makes a VBAC possible. However, a vertical incision, which cuts up and down through the uterine muscles, may pose a risk of uterine rupture during a VBAC. It is important for the client to consult their healthcare provider to determine if a VBAC is appropriate for them.