A nurse is reviewing the laboratory tests of a client who has a ruptured uterus.
What are some of the tests that the nurse should expect to be ordered for this client?
Complete blood count
Blood type and cross-match
Coagulation profile
All of the above.
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
1. The cervix must be fully dilated and effaced.
2. The fetal head must be engaged and well-flexed.
3. The maternal pelvis must be adequate for vaginal delivery.
These are the criteria that must be met before performing a vacuum extraction for a client who has prolonged and obstructed labor.
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.
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