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.).
Abdominal pain, tenderness, and rigidity
Fetal parts palpable through the abdominal wall or under the pubic bone
Vaginal bleeding and signs of shock
Fetal heart rate above 160 beats per minute
Absent or decreased fetal movements.
Correct Answer : A,C,E
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
All of the above are criteria for vacuum extraction delivery.Vacuum extraction is a method of assisted vaginal delivery that can help get the baby out when labor is stalled in the second stage.It involves applying a suction cup to the baby’s head and pulling while the mother pushes.
Correct Answer is D
Explanation
All of the above are indications for an emergency cesarean section in case of a ruptured uterus.A ruptured uterus is a serious complication where the uterus tears or breaks open, usually along the scar line of a previous C-section delivery.It can cause severe maternal hemorrhage or shock, fetal distress or demise, and complete uterine rupture or large uterine tear.
Therefore, an emergency cesarean section is needed to deliver the baby and repair the uterus as soon as possible.
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.
