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?
Administer oxygen via face mask and start an IV line
Notify the provider and prepare for emergency cesarean section
Perform a vaginal exam and check for fetal parts in the abdomen
Reassure the woman and monitor her vital signs and fetal heart rate
The Correct Answer is B
This is because uterine rupture is a life-threatening complication that requires immediate surgical intervention to save the mother and the fetus.
Delaying the delivery can result in hemorrhage, shock, infection, and fetal death.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A client who is in labor and has been pushing for 3 hours with no progress is at risk for postpartum hemorrhage and maternal exhaustion.This is because a prolonged second stage of labor can cause uterine atony, which is a failure of the uterus to contract and stop bleeding after delivery.It can also cause fatigue, dehydration, and electrolyte imbalance in the mother.
Correct Answer is B
Explanation
This is because uterine rupture is a life-threatening complication that requires immediate surgical intervention to save the mother and the fetus.
Delaying the delivery can result in hemorrhage, shock, infection, and fetal death.
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