A nurse is caring for a client who delivered a healthy term newborn via cesarean birth. The client asks the nurse, "Is there a chance that I could deliver my next baby without having a cesarean section?" Which of the following responses should the nurse provide?

A. "It's too soon for you to be worrying about this now.” This is non-therapeutic and dismissive communication. It blocks the client's attempt to gain information and invalidates her concerns. B. "A repeat cesarean birth is safer for both you and your baby.” This is factually inaccurate. For many women, a Trial of Labor After Cesarean (TOLAC) and subsequent Vaginal Birth After Cesarean (VBAC) is safe and avoids the risks associated with major abdominal surgery. C. "There are so many variables that you'll have to ask your obstetrician.” While the provider makes the final determination, the nurse can and should provide general education regarding the criteria for VBAC. D. "The primary consideration is what type of incision was performed this time.” To be a candidate for a VBAC, the client must have had a low transverse uterine incision. If the client had a classical (vertical) uterine incision, the risk of uterine rupture during labor is too high, and a repeat C-section is mandatory. The nurse correctly identifies this as the most critical factor.