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abdominal pain and tenderness are not specific signs of uterine rupture.

They can occur in normal labor or other complications.However, sudden and severe abdominal pain, especially at the site of a previous uterine scar, can indicate a rupture.

decreased fetal heart rate and variability are signs of fetal distress, which can be caused by many factors, not just uterine rupture.Fetal distress can occur before or after a rupture, but it is not a definitive sign of it.

heavy vaginal bleeding and hypotension are signs of hemorrhage, which can be caused by many factors, not just uterine rupture.Hemorrhage can occur before or after a rupture, but it is not a definitive sign of it.

administering intravenous antibiotics as prescribed is not the first action that the nurse should take.Although antibiotics may be indicated to prevent infection in some cases of emergency cesarean section, they are not as urgent or important as obtaining informed consent.

inserting a urinary catheter as ordered is not the first action that the nurse should take.

A urinary catheter may be needed to empty the bladder and facilitate the surgery, but it is not as essential or time-sensitive as obtaining informed consent.

explaining the procedure and its risks to the client is part of the informed consent process, but it is not sufficient by itself.The client also needs to have an opportunity to ask questions, express concerns and sign a written consent form.

Therefore, explaining the procedure and its risks to the client should not be done before obtaining informed consent.

changing the perineal pad every 4 hours is not enough to prevent infection.The pad should be changed more frequently, at least every 2 hours or whenever it is soiled, to reduce the risk of bacterial growth and contamination.

applying ice packs to the perineum for 24 hours is not recommended for clients who had a vacuum extraction delivery.Ice packs can increase the risk of tissue damage and necrosis in these clients due to the reduced blood flow and increased edema caused by the vacuum extraction.Ice packs should be applied only for the first 12 hours after delivery and then replaced by warm compresses.

administering oxytocin as prescribed is not a specific intervention to prevent infection in the client.Oxytocin is a hormone that stimulates uterine contractions and helps prevent postpartum hemorrhage by reducing blood loss.Oxytocin may also help with breastfeeding and bonding with the newborn, but it does not have a direct effect on preventing infection.

a nasal cannula delivers low concentrations of oxygen (24-30% O2) and is used for mild hypoxia.A nasal cannula can also cause dryness and irritation of the nasal passages at high flows.

a simple face mask delivers moderate concentrations of oxygen (30-40% O2) and is used for mild to moderate hypoxia.A simple face mask does not allow close control of FiO2 and has a risk of aspiration if the client vomits.

a venturi mask delivers precise concentrations of oxygen (24-60% O2) and is used for clients who need specific FiO2.A venturi mask has color-coded valves that adjust the amount of air entrainment.A venturi mask is not suitable for clients who need high concentrations of oxygen or who have variable respiratory rates and tidal volumes.

breastfeeding can be initiated as soon as possible after delivery, not after 24 hours.Breastfeeding is another way to enhance bonding and attachment, as well as to provide optimal nutrition and immunity for the baby.

asking the partner to feed the baby with a bottle may interfere with the establishment of breastfeeding and reduce the opportunities for maternal-fetal bonding.The partner can support the mother in other ways, such as providing emotional support, helping with household chores, or holding the baby after breastfeeding.

keeping the baby in the nursery for most of the time may prevent the mother from developing a close relationship with the baby.The mother should have frequent contact with the baby and respond to the baby’s cues.