Ch 24: Nursing Care of a Family During a Surgical Intervention for Birth

Although most clients accept cesarean birth well, a client may feel a loss of self-esteem if there is a belief that she is "less of a woman" than others because the client was unable to give birth vaginally. The statement about pain indicates a need for physiologic intervention. The statements about disappointment and the quickness of events might indicate that the client is trying to adjust to events but don't indicate problems directly related to self-esteem. - 1. A client who was in labor for 32 hours gave birth to a healthy newborn by emergency cesarean section. Which statement by this client would alert the nurse that the client is having problems with her self-esteem? a) "I am surprised that I need a narcotic pain medication. I am in more pain than I expected" b) "I feel like I'm not a real mother because I could not give birth to my baby the natural way" c) "I feel like the event was such a whirlwind as everything about the delivery happened so fast" d) "I'm disappointed that the labor did not progress as expected. I am glad that it is all over" b) Low transverse incision ("bikini cut") Pg. 635 The nurse anticipates the most common incision because no complication is noted. A low transverse incision ("bikini cut") is the lowest of the incisions performed. This incision is safe and more cosmetically appealing while allowing for a vaginal birth in a future pregnancy. The classic incision is a vertical, mid-abdominal incision. While safe, it is not the incision of choice. The lowabdominal incision is above the low transverse incision ("bikini cut") site. The best choice is below the abdomen. - 2. The nurse is caring for a client who is being prepared for a cesarean birth due to nonprogession of the labor process. The nurse will direct the client to the proper placement on the operating table and abdominal preparation for which type of incision? a) Vertical incision b) Low transverse incision ("bikini cut") c) Low-abdominal incisio