Wednesday, January 15, 2014

NCLEX Question for Cesarean Section Delivery Evaluation

Mrs. C. is scheduled for a cesarean section delivery due to transverse fetal lie. What is the best way for nurse to evaluate that Mrs. C. understands the procedure?
    a. Ask Mrs. C. about the help she will have at home after her delivery.
    b. Give Mrs. C. diagram of the body and ask her to draw the procedure for you.
    c. Ask Mrs. C. to tell you what she knows about the scheduled surgery.
    d.Provide Mrs. C. with a booklet explaining cesarean deliveries when she arrives at       the hospital.

Correct Answer: C. Asking for clarification of what Mrs. C. knows is the best way to evaluate what she understands of the procedure.  If the client has additional questions, the nurse can then clarify or amplify the information.      
 
Although it is important to have some help after discharge this question will not elicit information about her understanding of the procedure.      
 
This technique is useful in preparing young children for surgery, but is inappropriate for a normal adult.      
 
Although written information may be helpful to explain cesarean birth, providing it at the time of admission does not allow the nurse the opportunity to evaluate that the patient understands the procedures.    

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