Question 1

Of the following indications for a previous cesarean which of these women will most likely have the greatest success for a vaginal birth if this is her second baby, she has a BMI and height in the normal range and has had an uncomplicated pregnancy.

Accepted Answer

A previous cesarean due to breech position is not related to the mother's ability to labor or deliver vaginally, so she is likely to have a successful vaginal birth if the current pregnancy is uncomplicated and the baby is in a normal position.

Question 2

Which of the following is not an element of shared decision making?

Accepted Answer

Shared decision making involves providing information and evaluating options based on the patient's goals and concerns, but it does not involve recommending the safest option, as the focus is on collaborative decision-making rather than directive advice.

Question 3

Which of the following women is most likely to have success with a vaginal birth after a cesarean?

Accepted Answer

A woman with a history of cesarean for placenta previa, presenting in spontaneous labor, with a normal BMI and taller height, has a higher likelihood of successful VBAC.

Question 4

Which of the following women would not be a candidate for a trial of labor?

Accepted Answer

A previous transfundal uterine surgery involves an incision through the upper part of the uterus, which increases the risk of uterine rupture during labor, making a trial of labor contraindicated.

Question 5

The overall success rate for vaginal birth after cesarean in the United States is closest to:

Accepted Answer

The overall success rate for vaginal birth after cesarean (VBAC) in the United States is approximately 75%, making option C the closest to the actual rate.

Question 6

Research shows that perceived provider preference significantly factors into a patient's decision to attempt a trial of labor after a previous cesarean.

Accepted Answer

Research indicates that patients often consider their healthcare provider's preferences and recommendations when deciding whether to attempt a trial of labor after a cesarean (TOLAC), as they trust their provider's expertise and guidance.

Question 7

Uterine rupture during a trial of labor in the hospital setting is associated with maternal mortality.

Accepted Answer

Uterine rupture during a trial of labor in a hospital setting is associated with maternal morbidity, but maternal mortality is rare due to the availability of immediate medical intervention.

Question 8

According to current evidence the risk of a uterine rupture for a woman in spontaneous labor choosing a trial of labor (TOL) after one previous cesarean and no previous vaginal births is closest to:

Accepted Answer

The risk of uterine rupture for a woman in spontaneous labor choosing a trial of labor (TOL) after one previous cesarean and no previous vaginal births is closest to 0.47%.

Question 9

Studies show that the neonatal mortality rate is higher for trial of labor compared to elective repeat cesarean.

Accepted Answer

Studies have indicated that attempting a vaginal birth after cesarean (VBAC) can be associated with a higher risk of neonatal complications compared to elective repeat cesarean deliveries.

Question 10

The risk of neonatal death following a uterine rupture in labor is closest to:

Accepted Answer

The answer of The risk of neonatal death following a...

Question 11

Children born by cesarean have an increase risk of developing many health-related problems. Which of the following is not associated with cesarean birth?

Accepted Answer

Attention-Deficit/Hyperactivity Disorder (ADHD) is not typically associated with cesarean birth, whereas conditions like asthma, type 1 diabetes, inflammatory bowel disease, and obesity have been linked to cesarean delivery.

Question 12

M.S. is choosing to have an elective repeat cesarean birth. Her surgery should be scheduled for what gestational age:

Accepted Answer

Elective repeat cesarean births are typically scheduled at 39 weeks of gestation to reduce the risk of respiratory problems in the newborn and to avoid complications associated with earlier delivery.

Question 13

Which of the following methods may be helpful in counseling a woman related to birth choices following a previous cesarean who has demonstrated low levels of health literacy and numeracy?

Accepted Answer

Icon arrays can visually represent statistical information in a way that is easier to understand for individuals with low health literacy and numeracy, making them a helpful tool in counseling.

Quiz 31: Birth Choices for Women With a Previous Cesarean Delivery