A nurse is caring for a client who has a history of risk factors for ruptured uterus.
What are some of the risk factors that the nurse should assess? (Select all that apply.).
Previous cesarean section.
Uterine fibroids.
Multiparity.
Gestational diabetes.
Induced labor.
Correct Answer : A,B,C,E
Previous cesarean section.
Uterine fibroids.
Multiparity.
Induced labor.
These are some of the risk factors that can weaken the uterine wall and increase the risk of rupture during labor or delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
Fetal presentation other than vertex, such as breech or transverse, and fetal size larger than average, such as macrosomia or hydrocephalus, are risk factors for prolonged and obstructed labor.
These factors can prevent the fetal head from descending into the pelvis or passing through the birth canal.
Correct Answer is ["A","C","E"]
Explanation
A ruptured uterus is a serious complication where the uterus tears or breaks open, usually along the scar line of a previous cesarean delivery.
It can cause severe bleeding and fetal distress.Some of the signs and symptoms of a ruptured uterus are:
• Abdominal pain, tenderness, and rigidity: This is caused by the internal bleeding and the loss of uterine muscle tone.
• Vaginal bleeding and signs of shock: This is due to the hemorrhage from the rupture site and the hypovolemia (low blood volume) in the mother.
• Absent or decreased fetal movements: This is because the fetus may slip into the mother’s abdomen or lose oxygen due to the rupture.
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