A nurse is caring for a client who is in active labor and has a history of two previous cesarean deliveries.
The nurse notes that the client’s fetal heart rate is dropping and the client reports severe abdominal pain.
The nurse suspects that the client has a ruptured uterus.
What is the priority action for the nurse to take?
Notify the provider and prepare for an emergency cesarean delivery
Administer oxygen via face mask and increase IV fluids
Place the client in a knee-chest position and apply a fetal scalp electrode
Perform a vaginal exam and assess for cervical dilation and effacement.
The Correct Answer is A
Notify the provider and prepare for an emergency cesarean delivery. This is because a ruptured uterus is a life-threatening complication that requires immediate surgical intervention to save the mother and the fetus.
The nurse should also monitor the vital signs and fetal heart rate of the client and administer oxygen and IV fluids as needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This outcome indicates that the nursing care was effective in preventing complications such as hemorrhage and sepsis after a ruptured uterus and an emergency hysterectomy.
Correct Answer is D
Explanation
All of the above.FGM can increase the risk of hemorrhage, infection, and obstructed labor due to the damage and scarring of the female genital organs.
Normal ranges for some relevant indicators are:
• Blood loss during vaginal delivery: less than 500 ml
• Blood loss during cesarean section: less than 1000 ml
• Duration of first stage of labor: 12 to 19 hours for nulliparous women; 10 to 14 hours for multiparous women
• Duration of second stage of labor: up to 3 hours for nulliparous women; up to 2 hours for multiparous women

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
