ob chapter 24 not part of cornell notes Flashcards
Why does cesarean birth pose a greater risk to newborns compared to vaginal birth?
The lack of chest pressure during delivery can make it harder for the newborn to rid the lungs of fluid, increasing the risk of respiratory difficulty.
What respiratory issue is more common in newborns born by cesarean section?
Transient respiratory difficulty for a day or two after birth.
How does cesarean birth affect a newborn’s gut microbiome?
It may alter the gut microbiome, which is linked to an increased risk of asthma and atopic dermatitis later in life.
What is the goal of preoperative teaching for a cesarean birth?
To inform the patient about the procedure, special equipment, and necessary postoperative exercises to maintain respiratory and circulatory function.
Why is early ambulation emphasized in preoperative teaching?
It helps prevent postsurgical complications, including respiratory and circulatory issues.
What are the two types of cesarean incisions?
Classic cesarean incision and low-segment incision.
When is a classic cesarean incision used?
When there is excessive scar tissue, a fetus is less than 30 weeks gestational age, or conditions like morbid obesity or uterine fibroids are present.
What is the major disadvantage of a classic cesarean incision?
It runs through the contractile portion of the uterus, increasing the risk of uterine rupture in future pregnancies.
Why is a low-segment cesarean incision preferred?
It results in less blood loss, is easier to suture, decreases uterine infections, and reduces postpartum gastrointestinal complications.
What is the disadvantage of a low-segment incision?
It takes longer to perform, making it less practical for emergency cesarean births.
Why do individuals who have a cesarean birth require additional postpartum care?
They experience both postpartum uterine contractions and postsurgical incision pain.
What is a nursing goal for postpartum cesarean patients?
To help them successfully bond with their newborn while managing postoperative pain.
