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 client who had a low transverse incision for her previous cesarean delivery.
A client who had a vertical incision on her uterus but a low transverse incision on her skin for her previous cesarean delivery.
A client who had two previous cesarean deliveries with low transverse incisions and is now 39 weeks gestation.
A client who had one previous cesarean delivery with a low transverse incision and is now 41 weeks gestation.
The Correct Answer is B
A client who had a vertical incision on her uterus but a low transverse incision on her skin for her previous cesarean delivery has the highest risk of uterine rupture during labor. This is because a vertical incision on the uterus weakens the uterine wall and increases the risk of rupture during contractions.
Normal ranges for uterine rupture during labor are 0.2% to 1.5% for women who have had one previous cesarean delivery with a low transverse incision and 0.9% to 3.7% for women who have had two or more previous cesarean deliveries with low transverse incisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Encourage the client to talk about her feelings and listen empathetically.
This action shows respect for the client’s emotions and helps her process her experience.
It also allows the nurse to provide support and reassurance.
Choice A is wrong because it dismisses the client’s feelings and implies that she should not be upset.
This can make the client feel guilty or invalidated.
Choice C is wrong because it blames the client for having unrealistic and unachievable expectations.
This can make the client feel ashamed or defensive.
Choice D is wrong because it suggests that the client needs professional counselling to cope with her emotions.
This can make the client feel stigmatized or abnormal.
Normal ranges for postpartum emotions vary depending on the individual and the circumstances.
However, some signs of postpartum depression or post-traumatic stress disorder include persistent sadness, anxiety, anger, guilt, flashbacks, nightmares, insomnia, loss of interest, difficulty bonding with the baby, or thoughts of harming oneself or the baby.
These symptoms should be reported to a healthcare provider as soon as possible.
Correct Answer is B
Explanation
A client who had a vertical incision on her uterus but a low transverse incision on her skin for her previous cesarean delivery has the highest risk of uterine rupture during labor.This is because a vertical incision on the uterus weakens the uterine wall and increases the risk of rupture during contractions.
Normal ranges for uterine rupture during labor are 0.2% to 1.5% for women who have had one previous cesarean delivery with a low transverse incision and 0.9% to 3.7% for women who have had two or more previous cesarean deliveries with low transverse incisions.
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