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 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?

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 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 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 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 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 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 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 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 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.)