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 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?

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?

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 caring for a client who had a vacuum-assisted delivery due to prolonged labor and is at risk for developing a hematoma in the perineal area.

Which of the following manifestations should alert the nurse to this complication?

A nurse is providing discharge teaching to a client who had a ruptured uterus and a hysterectomy during labor.

Which of the following instructions should the nurse include in the teaching? (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 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 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 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 caring for a client who is in active labor and experiencing shoulder dystocia.

Which of the following actions should the nurse take? (Select all that apply.).