A nurse is reviewing the medical records of four clients who are pregnant and planning to have a vaginal birth after cesarean (VBAC).

Which of the following clients has the highest risk of uterine rupture during labor?

A nurse is reviewing the laboratory results of a postpartum client who had a hemorrhage due to uterine atony. Which finding would be expected in this client?

The nurse is palpating a patient’s uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?

A nurse is caring for a postpartum client who had a vaginal delivery with an episiotomy.

Which action would help prevent infection of the perineal area?

A nurse is planning care for a client who has postpartum psychosis and is experiencing hallucinations.

Which of the following interventions should the nurse include in the plan?

A nurse is caring for a postpartum client who had a difficult labor and delivery. The client expresses frustration and disappointment with her birth experience. Which of the following actions should the nurse take?

A nurse is caring for a client who is in the informal stage of maternal role attainment.

Which of the following statements by the client indicates an understanding of this stage?

A nurse is evaluating the effectiveness of antenatal education on a group of expectant mothers.

Which of the following outcomes would indicate a positive effect of the education?

A nurse is assessing a postpartum client who received Rho (D) immune globulin (RhoGAM) before discharge.

Which statement by the client indicates a need for further teaching?

The nurse is providing postpartum care to a patient 24 hours after a vaginal delivery. Which action does the nurse perform prior to assessing the patient’s uterus?

A nurse is caring for a postpartum client who has decided not to breastfeed her infant and has chosen formula feeding instead.

The nurse should instruct the client that: