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A nurse is evaluating a client who has prolonged labor and suspects uterine rupture.

Which of the following findings should alert the nurse to this complication?

Abdominal pain

Vaginal bleeding

Loss of fetal station

Fetal bradycardia.

Answer and Explanation

The Correct Answer is D

Uterine rupture can cause fetal distress and hypoxia, which can slow down the fetal heart rate.

Fetal bradycardia is a sign of a serious complication that requires immediate intervention.

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Correct Answer is ["A"]

Explanation

A boggy uterus is a sign of uterine atony, which is the failure of the uterus to contract sufficiently after childbirth.

This can lead to excessive bleeding and postpartum hemorrhage.

A firm fundus at the umbilicus is a normal finding after delivery and indicates that the uterus is contracting well.

Excessive lochia rubra is also a sign of uterine atony and postpartum hemorrhage.Lochia rubra is the vaginal discharge composed of blood, mucus, and tissue from the placenta and the uterus lining that occurs after childbirth.

It is normal for the first 3 to 4 days, but it should gradually decrease in amount and change in color.

Clots larger than a quarter are abnormal and indicate excessive bleeding.

A pulse rate of 110/min is a sign of tachycardia, which can be caused by blood loss, infection, or pain.

A normal pulse rate for an adult is between 60 and 100 beats per minute.

A. Encourage the client to express her feelings and grief B. Avoid mentioning the baby’s name or characteristics C. Tell the client that she can try again for another baby soon D. Suggest that the client should not see or hold the baby.

Correct Answer is A

Explanation

Grief is a normal and natural response to the loss of a baby, and the nurse should provide emotional support and acknowledge the client’s pain.The nurse should also respect the client’s personal, cultural, or religious needs and preferences regarding the care of the baby.

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A nurse is evaluating a client who has prolonged labor and suspects uterine rupture. Which of the following findings should alert the nurse to this complication?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who had a prolonged labor and is at risk for uterine atony. Which of the following findings should indicate to the nurse that the client has this condition? Select all that apply.

Correct Answer is ["A"]

Explanation

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?

Correct Answer is A

Explanation

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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 evaluating a client who has prolonged labor and suspects uterine rupture.

Which of the following findings should alert the nurse to this complication?