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?

The labor is progressing normally and no intervention is needed

The labor is progressing slowly and close observation is needed

The labor is progressing rapidly and delivery is imminent

The labor is obstructed and immediate intervention is needed.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is D

Explanation

All of the above factors should be considered when discussing the possibility of vaginal birth after cesarean (VBAC).

Here’s why:

• The type of uterine incision used in the previous cesarean delivery affects the risk of uterine rupture during VBAC.A low transverse incision is associated with the lowest risk, while a high vertical incision is associated with the highest risk.

• The gestational age of the current pregnancy affects the success rate of VBAC.The optimal time for VBAC is between 39 and 40 weeks of gestation.Attempting VBAC before 37 weeks or after 41 weeks may increase the risk of complications.

• The presentation and position of the fetus affects the feasibility and safety of VBAC.A breech presentation, a transverse lie, or a posterior position may make vaginal delivery difficult or impossible.A cephalic presentation and an anterior position are more favorable for VBAC.

A. Administer oxygen via face mask and start an IV line B. Notify the provider and prepare for emergency cesarean section C. Perform a vaginal exam and check for fetal parts in the abdomen D. Reassure the woman and monitor her vital signs and fetal heart rate

Correct Answer is B

Explanation

This is because uterine rupture is a life-threatening complication that requires immediate surgical intervention to save the mother and the fetus.

Delaying the delivery can result in hemorrhage, shock, infection, and fetal death.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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)?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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 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 evaluating a client who has prolonged labor and suspects uterine rupture. Which of the following findings 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 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 caring for a client who has prolonged labor and is at risk for infection. Which of the following actions should the nurse take to reduce this risk? (Select all that apply.)

A nurse is reviewing the medical record of a client who is in labor and has cephalopelvic disproportion (CPD). Which of the following findings should the nurse expect to see in the record?

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?