Final answer:
In preparation for a cesarean birth, the nurse's care would likely include administration of an oral antacid and straight catheterization to empty the bladder. Each case is assessed individually, and the care provided is tailored to the patient's circumstances, keeping safety and comfort as priorities.
Step-by-step explanation:
When preparing a woman for a cesarean birth, the nurse's care typically includes several specific steps to ensure the safety and comfort of the mother and baby. Notable amongst these is the administration of an oral antacid to reduce the risk of acid aspiration during surgery. This prophylactic measure is crucial due to the increased risk of reflux caused by the pressure of the uterus on the stomach during pregnancy.
Additionally, a straight catheterization may be used to empty the bladder, which reduces the risk of injury during surgery and can help in post-operative recovery. While practices such as full perineal shave preparation and injection of narcotic preoperative medications were once common, modern protocols have evolved, and such measures are now assessed on a case-by-case basis, focusing on the specific needs and conditions presented by the patient.
It is also essential for the healthcare team, including the surgeon, nurse, and anesthesia professional, to review the patient's recovery and care, confirming the identity, surgical site, and procedure, as well as reviewing any critical events, anticipated blood loss, availability of proper equipment, and sterility concerns. Prophylactic antibiotics are usually administered within 60 minutes before the incision if indicated for the procedure.