A nurse is evaluating the outcomes of care for a client who had a ruptured uterus during labor and underwent an emergency hysterectomy.
Which of the following outcomes indicates that the nursing care was effective?
The client reports satisfaction with her birth experience
The client expresses grief over the loss of her fertility
The client has normal vital signs and no signs of infection
The client breastfeeds her newborn successfully.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is a complication that can occur when the baby’s head is delivered but one or both shoulders becomes “stuck” behind the pelvic bone.This can happen when the baby is too large or out of position when entering the pelvis, which are possible causes of cephalopelvic disproportion (CPD).
Normal ranges for fetal head circumference are 32 to 38 cm at term.
Normal ranges for maternal pelvic inlet diameter are 11 to 13 cm for anteroposterior diameter and 13 to 14 cm for transverse diameter.

Correct Answer is B
Explanation
Uterine tachysystole is a condition where the uterus contracts too frequently and intensely, which can reduce blood flow and oxygen to the fetus and increase the risk of uterine rupture, especially in women who have had previous uterine surgery.Oxytocin is a hormone that stimulates uterine contractions and can cause or worsen uterine tachysystole.Therefore, if oxytocin is being used to augment labor, it should be discontinued immediately to prevent further complications.
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