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    Hesi lpn exit proctored examQuestion 45
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    Hesi lpn exit proctored exam

    A client whose first child was delivered by cesarean section is 20 weeks pregnant with her second child and wishes to have a vaginal birth after cesarean (VBAC). What information is most important for the practical nurse (PN) to obtain?

    Explanation & Rationale

    A. Client's intent regarding breastfeeding of newborn: While breastfeeding plans are important postpartum, they do not impact the safety or feasibility of a VBAC and are not critical at this stage of pregnancy. B. History of contracting Herpes simplex virus: A history of herpes may influence delivery planning if lesions are present near term, but it is not the most critical factor for VBAC eligibility. C. The type of uterine incision used for previous birth: The type of incision (low transverse vs. classical vertical) is the most important factor for determining VBAC eligibility. A low transverse incision has a lower risk of uterine rupture, while a classical incision generally contraindicates VBAC due to higher rupture risk. D. Religious preference of the client's family: Religious preferences may influence birth planning and support, but they do not affect the clinical safety or appropriateness of a VBAC.

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