A nurse is called by her sister, who tells her how wonderful it is tha

A nurse is called by her sister, who tells her how wonderful it is that she knows the exact date her baby is coming because her doctor scheduled her for a C-section before his vacation.

Which of the following would be the most appropriate response by the nurse?
a.
“A C-section is major surgery. Do you remember what the doctor shared were the risks for yourself and your baby?”
b.
“How marvelous to know the date; I’ll plan to visit you in the hospital.”
c.
“I’m so pleased. I know exactly when I’m going to be an aunt.”
d.
“Why not wait until after your doctor comes back from his vacation?”

ESSAYBID ANSWER

ANS: A
C-section involves the risks of any major surgery such as hemorrhage, infection, damage to adjacent structures, as well as risks associated with anesthesia. Long-term sequelae for women include pelvic pain, along with formation of adhesions and placental abnormalities that lead to complications in subsequent pregnancies. Risks to the neonate include higher incidence of persistent pulmonary hypertension and respiratory diseases. C-sections are not shown to improve outcomes for either mother or baby. Women should be made aware of the risks involved with interventions associated with birth and educated on how to best select their place of birth. The role of the nurse is to educate her sister that this is a major surgery and remind her of the risks involved. The other responses do not consider the importance of education needed for the client in this situation.