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?
Fetal distress or demise
Severe maternal hemorrhage or shock
Complete uterine rupture or large uterine tear
All of the above.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A client who has a ruptured uterus is at risk of severe hemorrhage and shock, so the following tests are necessary to assess the blood loss and prepare for possible transfusion:
• A complete blood count (CBC) can show the level of hemoglobin, hematocrit, red blood cells, white blood cells, and platelets.
A low hemoglobin and hematocrit indicates anemia due to blood loss.
A high white blood cell count indicates infection or inflammation.
A low platelet count indicates impaired clotting ability.
• A blood type and cross-match can determine the client’s blood group and Rh factor, and identify compatible blood units for transfusion if needed.
• A coagulation profile can measure the time it takes for the blood to clot and the activity of clotting factors.
A prolonged prothrombin time (PT), activated partial thromboplastin time (aPTT), or international normalized ratio (INR) indicates a bleeding disorder or anticoagulant use.
A low fibrinogen level indicates excessive bleeding or consumption of clotting factors.
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.
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