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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.

Answer and Explanation

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.

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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.

A. Cervical dilation of 4 cm after 8 hours of active labor B. Fetal heart rate of 140 beats per minute C. Moulding of the fetal skull bones D. Uterine contractions of 3 in 10 minutes.

Correct Answer is C

Explanation

is a sign of obstructed labour, which occurs when the baby cannot pass through the birth canal due to a mismatch between the size or position of the baby and the pelvis.

Moulding is the process of overlapping of the skull bones to reduce the diameter of the head and facilitate its passage.However, excessive moulding can indicate that the head is too large or the pelvis is too small for a normal delivery.

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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.).

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Naxlex Comprehensive Predictor Exams

A nurse is performing a physical examination of a mother and the fetus who are suspected to have a ruptured uterus. What are some of the signs and symptoms that the nurse should look for? (Select all that apply.).

Correct Answer is ["A","C","E"]

Explanation

A nurse is assessing a client who has prolonged and obstructed labor. Which of the following findings is a sign of obstructed labor?

Correct Answer is C

Explanation

A nurse is preparing to perform a vacuum extraction for a client who has prolonged and obstructed labor. Which of the following criteria must be met before performing this procedure? (Select all that apply).

A nurse is reviewing the laboratory tests of a client who has a ruptured uterus. What are some of the tests that the nurse should expect to be ordered for this client?

A nurse is educating a group of pregnant women about the risk factors for prolonged and obstructed labor. Which of the following factors should the nurse include? (Select all that apply).

A nurse is caring for a client who has prolonged and obstructed labor. The client develops signs of infection, such as fever, tachycardia, and foul-smelling lochia. Which of the following interventions should the nurse implement?

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.).

A nurse is using a partograph to monitor a client in labor. What is the main purpose of using a partograph?

A nurse is preparing a client who has a ruptured uterus for an emergency cesarean section. What are some of the indications for this procedure?

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?

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.).