Which of the following patients is most at risk for uterine rupture?
A G3P2 whose youngest child is 3 years old.
A G2P1 who has had one prior lower transverse cesarean section.
A CS4 who has had three prior lower transverse cesarean sections.
AG4P3 whose last baby was born at term gestation.
The Correct Answer is C
A CS4 who has had three prior lower transverse cesarean sections is at the highest risk for uterine rupture. The risk of uterine rupture increases with each subsequent cesarean section, and a history of three or more prior lower transverse cesarean sections is considered a significant risk factor for uterine rupture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This is because magnesium sulfate can cause respiratory depression, and a respiratory rate of 10 breaths/minute is significantly lower than the normal range of 12-20 breaths/minute. Other factors such as blood pressure of 138/88, the urinary output of 40 ml/hr, and patellar reflex of +2 should also be monitored, but they would not necessarily warrant immediate discontinuation of the magnesium sulfate infusion.
Correct Answer is D
Explanation
When assessing potential environmental health issues in a district, the public health nurse would consider a range of factors that may impact the health and well-being of the community. These factors may include the built environment (e.g. housing, transportation, urban planning), workplace hazards, food safety, and a range of other environmental exposures that could potentially harm human health.
By considering all of these factors, the public health nurse can gain a more comprehensive understanding of potential environmental health issues in the district and develop appropriate strategies for addressing these issues to improve the health and well-being of the community.
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