A nurse is assisting a client who has an incomplete uterine rupture or small uterine tear with a vacuum extraction delivery.
What are some of the criteria for this procedure?
Adequate cervical dilation and descent of the fetal head
No evidence of fetal distress or demise
No contraindication such as prematurity, bleeding disorder, or hydrocephalus
All of the above.
The Correct Answer is D
All of the above are criteria for vacuum extraction delivery. Vacuum extraction is a method of assisted vaginal delivery that can help get the baby out when labor is stalled in the second stage. It involves applying a suction cup to the baby’s head and pulling while the mother pushes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A client who has a ruptured uterus is at risk of severe hemorrhage and shock, so the following tests are necessary to assess the blood loss and prepare for possible transfusion:
• A complete blood count (CBC) can show the level of hemoglobin, hematocrit, red blood cells, white blood cells, and platelets.
A low hemoglobin and hematocrit indicates anemia due to blood loss.
A high white blood cell count indicates infection or inflammation.
A low platelet count indicates impaired clotting ability.
• A blood type and cross-match can determine the client’s blood group and Rh factor, and identify compatible blood units for transfusion if needed.
• A coagulation profile can measure the time it takes for the blood to clot and the activity of clotting factors.
A prolonged prothrombin time (PT), activated partial thromboplastin time (aPTT), or international normalized ratio (INR) indicates a bleeding disorder or anticoagulant use.
A low fibrinogen level indicates excessive bleeding or consumption of clotting factors.
Correct Answer is A
Explanation
This is because the client has signs of infection, such as fever, tachycardia, and foul-smelling lochia, which can indicate endometritis or sepsis.Antibiotics can help treat the infection and prevent complications.
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