mary first baby

Group A: TO COMPLETE

Mary’s 1st baby was delivered via c/section due to the baby being in the breech position. She is requesting a VBAC (vaginal birth after c/section) for this her second baby. By ultrasound this baby is in the vertex position. In reviewing the postoperative report from her first surgery – it is noted that she had a low transverse uterine incision.

What are your thoughts on having a vaginal birth with this second baby?

What education can you provide to her?

What is the risk to her and does this change your thoughts and advise?

Group A TO COMPLETE.

Mary is not progressing in labor appropriately, and the decision has been made to move toward a cesarean section. She understands, agrees, and signs the consent for surgery. You will again accept this patient in the recovery – or initial postpartum period.

Recognize that you will complete BUBBLEHE assessment. In addition, the abdominal assessment will also include assessment of the incision. Note the type of dressing used to cover the incision. Is it approximated? Is there any bleeding? Does she have bowel sounds? Is the abdomen distended? Is it soft? Do you assess the fundus and where is it located? It should be firm. Note pain assessment.

Submit as a word document 4-6 pages with title page (with necessary information and APA format 12 font, page numbers, in text citations and reference page. In the body of the text, please provide the scenario and answer the questions appropriately using your critical thinking skills.