Modify preoperative teaching to meet the needs of either a planned or emergency cesarean birth-a key point to consider when preparing the client for a cesarean delivery is to modify the preoperative teaching to meet the needs of either a planned or emergency cesarean birth, the depth and breadth of instruction will depend on circumstances and time available. allowing the mothers support person to remain with her as much as possible is an important concept, although doing so depends on many variables. arranging for necessary explanations by various staff members to be involved with the clients care is a nursing responsibility. the nurse is responsible for reinforcing the explanations about the surgery, expected outcome, and type of anesthetic to be used. the obstetrician is responsible for explaining about the surgery and outcome and the anesthesiology staff is responsible for explanations about the type of anesthesia to be used.