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 evaluating a client who has prolonged and obstructed labor for signs of postpartum hemorrhage.

Which of the following findings is an early indicator of postpartum hemorrhage?

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 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 counseling a client who has a small pelvis and wants to have a vaginal delivery.

Which of the following factors should the nurse consider when discussing the possibility of vaginal birth after cesarean (VBAC)?

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?

A nurse is reviewing the risk factors for uterine rupture with a group of nursing students.

Which of the following risk factors should the nurse include? (Select all that apply.)

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 nurse is reviewing the partograph of a client in labor.

The nurse notes that the cervical dilation curve is above the alert line and below the action line.

What does this indicate?

A nurse is caring for a client who has prolonged and obstructed labor and develops a vesicovaginal fistula.

Which of the following interventions should the nurse include in the plan of care?