1. The patient is a petite 23-year-old G1P0 woman. Prenatal assessment has determined this woman will need a cesarean bi

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1. The patient is a petite 23-year-old G1P0 woman.
Prenatal assessment has determined this woman will need a cesarean
birth due to cephalopelvic disproportion.
A. What can this patient and the nurse do prenatally to ensure a
safe delivery?
B. What potential risks and/or complications should the nurse be
aware of and prepare for?
C. What postoperative care will this mother and/or infant
need?
2. The nurse is assessing a new patient who has come to the
clinic with the complaint of strong, irregular contractions for the
past 12 hours. Assessment reveals the membranes are intact, the
cervix is at 4 cm, and vital signs of both mother and infant are
within normal limits. After a couple hours of observation, the
contractions have become regular and closer together, but the
membrane remains intact.
A. What should the nurse be aware of to prepare the patient for
possible amniotomy?
B. What nursing diagnoses would be appropriate in this case?
C. What are the expected outcomes?
3. The nurse is caring for a patient who had an emergent
cesarean birth. The woman is very distraught that her delivery did
not go as planned. The nurse is trying to help her breastfeed,
which is not going well.
A. What are some immediate concerns the nurse should be watching
for?
B. How can the nurse help this patient cope and accept what has
happened?
C. The patient is asking about getting her tubes tied because
she doesn’t want to go through this again. How should the nurse
respond?