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 has prolonged and obstructed labor and develops a vesicovaginal fistula.

Which of the following interventions should the nurse include in the plan of care?

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 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 evaluating a client who has prolonged labor and suspects uterine rupture.

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

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 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 monitoring a client who had a vaginal birth after cesarean (VBAC) delivery.

The nurse notes that the client has a boggy uterus, heavy vaginal bleeding, and signs of hypovolemic shock.

The nurse suspects that the client has a concealed uterine rupture.

What is an appropriate nursing action for this client?

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.)

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.).

A nurse is counseling a client who has a small pelvis and wants to have a vaginal delivery.

Which of the following factors should the nurse consider when discussing the possibility of vaginal birth after cesarean (VBAC)?