A gravida 2, para 1 client is admitted to the labor and birth unit in labor. She states that she had a cesarean birth with her first pregnancy. The most critical information the nurse must obtain at this point is:
A) the onset of contractions.
B) her estimated date of birth.
C) when the client ate last and what she consumed.
D) the type of uterine incision with the first pregnancy.

Question

Quizplus · Accepted Answer

A vertical incision creates a greater risk of uterine rupture in a subsequent labor than a transverse incision. The onset of labor is not the most important information that is needed at this point. This is important information to prepare for a fetus that may not be term. However, it is not the most critical question. If a cesarean birth is necessary this information is needed but not as critical as the type of previous incision.

A Gravida 2, Para 1 Client Is Admitted to the Labor