Practice Question
A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC.. Which of the following statements by the nurse is appropriate?
Answer Choices:
Correct Answer:
"The primary consideration for a safe attempt at a vaginal birth after cesarean (VBAC. is what type of incision you had."
Rationale:
🔷 Uterine incision type (especially low transverse) determines eligibility for VBAC due to lower rupture risk.
🔷 Knowing this guides both nurse and client in planning a safe delivery.
🔷 Not all prior cesareans preclude TOLAC; specifics must be reviewed.
🔷 Encouraging informed discussion supports patient autonomy.
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This question is from ATI PN Maternal OB Exam 21 which contains 47 questions.
More Questions from This Exam
A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC.. Which of the following statements by the nurse is appropriate?
Answer Choices:
A. "It is too soon for you to be worrying about that now."
B. "The primary consideration for a safe attempt at a vaginal birth after cesarean (VBAC. is what type of incision you had."
C. "There are so many variables and I don't have time to explain them all to you, so you will have to ask your provider later."
D. "A repeat cesarean section would be safer for both you and your baby."
A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis for L/S ratio. The client needs an amniocentesis to determine which of the following findings?
Answer Choices:
A. Maturity of lungs
B. Gender of the fetus
C. Anatomic abnormalities
D. Weeks of gestation
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?
Answer Choices:
A. The hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen
B. The hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days
C. Hepatitis B immune globulin and the hepatitis B vaccine within 12 hr of birth
D. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months
Your patient who wants to exclusively breastfeed is afraid her baby isn't latching properly. To assist the mother you would (Select all that apply)
Answer Choices:
A. Call the lactation consultant to visit the patient
B. Encourage and support the mother's desire/intention and include the partner in the conversation
C. Give the mother a bottle of formula to supplement
D. Help the mother shove her nipple in the baby's mouth.
E. Check for audible swallowing and a comfortable (non-painful) suck
F. Assist with proper positioning and latch techniques
A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take FIRST?
Answer Choices:
A. Increase the infusion rate of the IV fluid.
B. Elevate the client's legs.
C. Administer oxygen via face mask.
D. Position the client on her side.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Maternal & Newborn Care
- Answer Choices: 4