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.

Answer and Explanation

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.

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Correct Answer is ["A","C","E"]

Explanation

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.

A. Maternal age younger than 18 years or older than 35 years. B. Maternal height less than 150 cm or more than 180 cm. C. Fetal presentation other than vertex, such as breech or transverse. D. Fetal size larger than average, such as macrosomia or hydrocephalus. E. Fetal position posterior, such as occiput posterior or sacrum posterior.

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

Explanation

Fetal presentation other than vertex, such as breech or transverse, and fetal size larger than average, such as macrosomia or hydrocephalus, are risk factors for prolonged and obstructed labor.

These factors can prevent the fetal head from descending into the pelvis or passing through the birth canal.

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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?

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Naxlex Comprehensive Predictor Exams

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.).

Correct Answer is ["A","C","E"]

Explanation

A nurse is educating a group of pregnant women about the risk factors for prolonged and obstructed labor. Which of the following factors should the nurse include? (Select all that apply).

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

Explanation

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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?