A gush of blood is noted with the rupture of membranes.

On palpation, the uterus is soft (i.e., relaxed) and the patient is not reporting any pain.

An FHR deceleration down to 90 bpm is noted.

What does the nurse suspect has happened?

A nurse is caring for a client who had a vacuum-assisted delivery due to prolonged labor and is at risk for developing a hematoma in the perineal area.

Which of the following manifestations should alert the nurse to this complication?

A nurse is providing emotional support to a client who had a prolonged labor and delivered a stillborn baby by cesarean section.

Which of the following actions should the nurse take?

Women with previous uterine scars are prone to uterine rupture, especially if oxytocin or forceps are used.

If a woman complains of a sharp pain accompanied by the abrupt cessation of contractions, suspect uterine rupture, a medical emergency.

Immediate surgical delivery is indicated to save the fetus and mother.

Based on this information, which of the following nursing actions is most appropriate?

A nurse is evaluating a client who has prolonged labor and suspects uterine rupture.

Which of the following findings should alert the nurse to this complication?

A nurse is caring for a client who has prolonged labor and is at risk for infection.

Which of the following actions should the nurse take to reduce this risk? (Select all that apply.)

A gush of blood is noted with the rupture of membranes.

On palpation, the uterus is soft (i.e., relaxed) and the patient is not reporting any pain.

An FHR deceleration down to 90 bpm is noted.

What does the nurse suspect has happened?

A nurse is monitoring a client who had a vaginal birth after cesarean (VBAC) delivery.

The nurse notes that the client has a boggy uterus, heavy vaginal bleeding, and signs of hypovolemic shock.

The nurse suspects that the client has a concealed uterine rupture.

What is an appropriate nursing action for this client?

A nurse is preparing to assist with an emergency cesarean delivery for a client who has a ruptured uterus.

Which of the following equipment should the nurse have readily available? (Select all that apply.)

A nurse is reviewing the medical record of a client who is in labor and has cephalopelvic disproportion (CPD).

Which of the following findings should the nurse expect to see in the record?

A nurse is assisting a client who has prolonged and obstructed labor to deliver by vacuum extraction.

Which of the following complications should the nurse monitor for in the newborn?