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A nurse is preparing to administer oxytocin to a client who has a previous cesarean delivery with a vertical uterine incision.

The nurse should be aware that this client has an increased risk for which of the following adverse effects?

A.

Uterine atony.

B.

Uterine inversion.

C.

Uterine rupture.

D.

Uterine infection.

Answer and Explanation

The Correct Answer is C

Oxytocin is a hormone that stimulates uterine contractions and can be used to induce or augment labor. However, it also increases the risk of uterine rupture, especially in women who have a scarred uterus from a previous cesarean delivery with a vertical uterine incision. A vertical uterine incision is made in the contractile part of the uterus and is more likely to tear under stress than a low transverse incision, which is made in the lower segment of the uterus.

Normal ranges for oxytocin infusion during labor are 0.5 to 20 milliunits per minute, depending on the indication and maternal and fetal status. The infusion rate should be adjusted according to the frequency and strength of uterine contractions and the progress of cervical dilation.


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Related Questions

Correct Answer is C

Explanation

Oxytocin is a hormone that stimulates uterine contractions and can be used to induce or augment labor.However, it also increases the risk of uterine rupture, especially in women who have a scarred uterus from a previous cesarean delivery with a vertical uterine incision.A vertical uterine incision is made in the contractile part of the uterus and is more likely to tear under stress than a low transverse incision, which is made in the lower segment of the uterus.

Normal ranges for oxytocin infusion during labor are 0.5 to 20 milliunits per minute, depending on the indication and maternal and fetal status.The infusion rate should be adjusted according to the frequency and strength of uterine contractions and the progress of cervical dilation.

Correct Answer is ["A","B","C","D"]

Explanation

A ruptured uterus is a serious complication that can cause severe bleeding, fetal distress and shock in the mother.

The symptoms of a ruptured uterus may include:

• Sudden onset of severe abdominal paindue to the tear in the uterine wall.

• Loss of uterine contractions or tonedue to the disruption of the uterine muscle.

• Vaginal bleeding (may be minimal)due to the blood loss from the uterine vessels.

• Shock (hypotension, tachycardia, pallor)due to the hemorrhage and reduced blood flow to vital organs.

Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, and for fetal heart rate are 110 to 160 beats per minute.

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