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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Epidural blocks are commonly used during labor to provide pain relief. However, they can also cause a sudden drop in blood pressure, known as epidural-induced hypotension, which can affect fetal oxygenation and fetal heart rate. Therefore, it is important to monitor maternal blood pressure frequently after an epidural block is administered.

While monitoring the maternal pulse is also important, hypotension is the most common complication of epidural anesthesia and can lead to decreased blood flow to the fetus. Therefore, monitoring maternal blood pressure is the priority.

Monitoring the fetus is also important, but it is not the most important intervention after an epidural block. Limiting parenteral fluids may be necessary in some cases to help prevent or treat hypotension, but it is not always necessary and should be done based on the individual situation.

A. Offer the infant a pacifier with a drop of mom's breast milk. B. Tightly swaddle the infant C. Complete the Finnegan score. D. Place the infant under a radiant warmer.

Correct Answer is C

Explanation

This tool helps in assessing the severity of withdrawal symptoms in infants who were exposed to opioids during pregnancy. Based on the Finnegan score, the nurse can implement appropriate interventions to manage the symptoms and prevent complications. While offering the infant a pacifier with a drop of mom's breast milk or tightly swaddling the infant may be helpful for soothing the infant, these interventions may not directly address the underlying hyperreflexia associated with opioid withdrawal. Placing the infant under a radiant warmer is not indicated for managing hyperreflexia.

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Which of the following patients is most at risk for uterine rupture?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman in labor has just received an epidural black. The most important nursing intervention is to:

Correct Answer is B

Explanation

An infant is in the NICU whose mother was addicted to opioids during pregnancy. The nurse knows that the most appropriate nursing intervention to help with the infant's hyperreflexia is:

Correct Answer is C

Explanation

The nurse is caring for a patient who has just been diagnosed with an ectopic pregnancy. Which of the following can the nurse anticipate as a part of the treatment plan for an ectopic pregnancy?

The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to:

Readiness for induction of labor is assessed by determining the:

The most common indication for a vacuum-assisted delivery is:

A nurse is developing goals for a community education program. Which of the following methods should be used?

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The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is: