Question

Roberta is a 26 year old, 39 week pregnant woman who was just told by her doctor, at her office visit, that she needs a CESAREAN SECTION.

• What is a cesarean section?

• Why might a NON-LABORING pregnant woman need a cesarean section? Name and explain 3 reasons.

• Why might a LABORING pregnant woman need a cesarean section? Name and explain 2 reasons. You are her nurse in the pre-op area and are getting her ready for the operating room. She asks you to: describe briefly what will happen in the OR. She asks you about her recovery after the surgery

. • Describe for her how she will look and feel after surgery when she gets to the Post Partum Unit.

• Explain some of the medications that may be ordered for her to take. Name and explain 3.

You are reviewing discharge teaching of a cesarean patient with her. You tell her that compliance is important. Teach her 2 things that you hope she complies with.

Answer 1

CESAREAN DELIVERY

CESAREAN SECTION is delievery of the fetus usually through a transabdominal ,low segment incision of the uterus

THE COMMON CAUSES OF CESAREAN SECTION ARE

ABNORMAL POSITIONING OF FETUS- for a successful vaginal delivery babies should be positioned head first near to the birth canal

THERE ARE SOME OTHER BABY POSITIONES SUCH AS BREECH BIRTH, SHOULDER PRESENTATION in such cases cesarean is safe

cord prolapse- it is a condition in which umblical cord slips through the cervix before the babay is born . IT IS A SERIOUS CONDITION THAT REQUIRE EMERGENCY CARE

Fetal distress- if babay is not getting adequate oxygen

PREOPERATIVE

if planned , prepare the mother and partner

need informed consent

ensure that prepoperative diagnosis are done including Rh factor

prepare to insert an interavenous line.

monitor the mother and fetus continously

pOST OPERATIVELY

monitor vital signs

provide pain relief

encourage ambulation

encourage bounding

AFTER CESAEAN SECTION MONITOR PATIENT FOR INFECTION AND BLEEDING

urinary infection-burning and pain on urination can indicate a sign of infection

A TENDER UTERUS AND FOUL SMELLING LOCHIS MAY INDICATE ENDOMETRITIS

pain,redness,or edema of an extremity may indicate thrombophelbitis.