A nurse is admitting a client who is in active labor and has had two prior cesarean births. The nurse should identify that the client is at an increased risk for which of the following complications?
Failure to progress
Abruptio placentae
Precipitous labor
Uterine rupture
The Correct Answer is D
Uterine rupture. When a client has had two prior cesarean births, she is at an increased risk for uterine rupture. Uterine rupture is a serious complication that can occur during labor, where there is a tear in the wall of the uterus. It can lead to significant blood loss for the mother and oxygen deprivation for the fetus. Other risk factors for uterine rupture include a previous uterine surgery, the use of labor-inducing drugs, and multiple gestations.
Failure to progress (choice A) refers to a labor that is not progressing as it should, and can be caused by a variety of factors, including fetal malposition or inadequate contractions. Abruptio placentae (choice B) refers to the separation of the placenta from the uterine wall before delivery, which can cause fetal distress and maternal hemorrhage. Precipitous labor (choice C) refers to a labor that progresses extremely quickly, with contractions lasting less than 3 hours from the onset of active labor. While precipitous labor can be associated with increased risk for perineal lacerations and postpartum hemorrhage, it is not typically associated with prior cesarean births.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D: Place the client in a lateral position. Late decelerations of the fetal heart rate on the monitor tracing can indicate fetal distress, which is a potential complication of oxytocin induction of labor. Placing the client in a lateral position can improve uteroplacental blood flow and may improve fetal oxygenation.
Choice A, administering misoprostol 25 mcg vaginally, can increase uterine contractions and may further compromise fetal oxygenation. Choice B, decreasing maintenance IV solution infusion rate, and choice C, administering oxygen via face mask at 2 L/min, are not effective interventions for late decelerations of the fetal heart rate.
Correct Answer is A
Explanation
The correct answer is choice A: Fortified soy milk. Vitamin B12 is found in animal products, so vegans are at risk of vitamin B12 deficiency. Fortified soy milk is a good source of vitamin B12 for vegans.
Choice B, brown rice, choice C, fresh citrus fruits, and choice D, raw carrots, are not good sources of vitamin B12.
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