A nurse is providing discharge teaching to a client who had a ruptured uterus and a hysterectomy during labor.

Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Avoid lifting anything heavier than your newborn for 6 weeks

Use sanitary pads rather than tampons for vaginal bleeding

Resume sexual intercourse when you feel comfortable

Drink plenty of fluids and eat foods high in fiber

Report any foul-smelling vaginal discharge or fever to your provider.

Answer and Explanation

Correct Answer : B,D,E

The nurse should include these instructions in the teaching because:

• Choice B: Using sanitary pads rather than tampons for vaginal bleeding can prevent infection and irritation of the surgical site.

• Choice D: Drinking plenty of fluids and eating foods high in fiber can help prevent constipation, which can strain the abdominal muscles and cause pain.

• Choice E: Reporting any foul-smelling vaginal discharge or fever to the provider can help detect signs of infection, which can be a complication of hysterectomy.

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Correct Answer is B

Explanation

This is because the cervical dilation curve is above the alert line and below the action line, which means that the dilation is less than 1 cm per hour.This indicates a possible delay in labor progress and a risk of complications such as fetal distress, infection, or postpartum hemorrhage.

A. Abdominal pain B. Vaginal bleeding C. Loss of fetal station D. Fetal bradycardia.

Correct Answer is D

Explanation

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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A nurse is providing discharge teaching to a client who had a ruptured uterus and a hysterectomy during labor. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the partograph of a client in labor. The nurse notes that the cervical dilation curve is above the alert line and below the action line. What does this indicate?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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.

A nurse is counseling a client who has a small pelvis and wants to have a vaginal delivery. Which of the following factors should the nurse consider when discussing the possibility of vaginal birth after cesarean (VBAC)?

A nurse is caring for a client who had a vacuum-assisted delivery due to prolonged labor and is at risk for developing a hematoma in the perineal area. Which of the following manifestations should alert the nurse to this complication?

A nurse is assessing a client who is in labor and notes that the fetal head is visible at the vaginal opening but does not advance with pushing. The nurse should identify this finding as which of the following?

A nurse is assisting a client who has prolonged and obstructed labor to deliver by vacuum extraction. Which of the following complications should the nurse monitor for in the newborn?

A nurse is assessing a client who is in labor and has been pushing for 3 hours with no progress. The nurse should identify that this client is at risk for which of the following complications? (Select all that apply.).

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 reviewing the risk factors for uterine rupture with a group of nursing students. Which of the following risk factors should the nurse include? (Select all that apply.)

A nurse is providing discharge teaching to a client who had a ruptured uterus and a hysterectomy during labor.

Which of the following instructions should the nurse include in the teaching? (Select all that apply.)