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.)

Women with previous uterine scars are prone to uterine rupture, especially if oxytocin or forceps are used.

If a woman complains of a sharp pain accompanied by the abrupt cessation of contractions, suspect uterine rupture, a medical emergency.

Immediate surgical delivery is indicated to save the fetus and mother.

Based on this information, which of the following nursing actions is most appropriate?

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 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 assisting a client who has prolonged and obstructed labor to deliver by vacuum extraction.

Which of the following complications should the nurse monitor for in the newborn?

A nurse is providing emotional support to a client who had a prolonged labor and delivered a stillborn baby by cesarean section.

Which of the following actions should the nurse take?

A nurse is assessing a client who had a prolonged labor and is at risk for uterine atony.

Which of the following findings should indicate to the nurse that the client has this condition? Select all that apply.

A nurse is preparing to assist with an emergency cesarean delivery for a client who has a ruptured uterus.

Which of the following equipment should the nurse have readily available? (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 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 gush of blood is noted with the rupture of membranes.

On palpation, the uterus is soft (i.e., relaxed) and the patient is not reporting any pain.

An FHR deceleration down to 90 bpm is noted.

What does the nurse suspect has happened?