A nurse is caring for a client who had a previous cesarean delivery and is now in labor with her second child.
The client reports a sudden sharp pain in her lower abdomen and vaginal bleeding.
The nurse should suspect which of the following conditions?
Placenta previa.
Uterine atony.
Uterine rupture.
Placental abruption.
The Correct Answer is C
This is a rare but life-threatening complication that can occur in women who have had a previous cesarean delivery and are now in labor with their second child. Uterine rupture happens when the scar from the previous surgery tears open during contractions, causing severe pain, bleeding, and fetal distress.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is because the cervical dilation curve is above the alert line, which means that the dilation is slower than 1 cm per hour and indicates a possible obstruction in the birth canal.Obstructed labor can lead to serious complications such as fetal distress, infection, uterine rupture, and maternal death.
The question does not provide any evidence of infection in this case.
Correct Answer is A
Explanation
This statement indicates an understanding of the teaching because cesarean delivery is a risk factor for prolonged and obstructed labor.Avoiding unnecessary cesarean delivery can help prevent foeto-pelvic disproportion and reduce the risk of uterine rupture.
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