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A nurse is assessing a client who has a ruptured uterus.

Which of the following findings should the nurse expect? (Select all that apply.).

Sudden onset of severe abdominal pain

Loss of uterine contractions or tone

Vaginal bleeding (may be minimal)

Shock (hypotension, tachycardia, pallor)

Fetal distress (bradycardia, decelerations).

Answer and Explanation

Correct Answer : A,B,C,D

A ruptured uterus is a serious complication that can cause severe bleeding, fetal distress and shock in the mother.

The symptoms of a ruptured uterus may include:

• Sudden onset of severe abdominal pain due to the tear in the uterine wall.

• Loss of uterine contractions or tone due to the disruption of the uterine muscle.

• Vaginal bleeding (may be minimal) due to the blood loss from the uterine vessels.

• Shock (hypotension, tachycardia, pallor) due to the hemorrhage and reduced blood flow to vital organs.

Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, and for fetal heart rate are 110 to 160 beats per minute.

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Correct Answer is A

Explanation

A prolonged deceleration of the fetal heart rate to 90/min indicates acute fetal hypoxia/acidosis, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus.Fetal pH drops at a rate of 0.01/min during the deceleration.Causes of acute hypoxia include low maternal blood pressure, dehydration, anemia, rapid uterine contractions, placental abruption, and fetal hypoxia.

A. The client reports adequate pain relief during labor B. The newborn has no signs of meconium aspiration C. The client has a firm fundus and minimal lochia D. The newborn initiates breastfeeding within 1 hour of birth.

Correct Answer is B

Explanation

This indicates a positive outcome because meconium aspiration can cause respiratory distress and infection in newborns.Apgar scores are used to assess the health of newborns at 1 and 5 minutes after birth based on five criteria: activity, pulse, grimace, appearance, and respiration.A score of 7 to 10 is considered normal.

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A nurse is assessing a client who has a ruptured uterus. Which of the following findings should the nurse expect? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who is in labor and has a prolonged deceleration of the fetal heart rate to 90/min. The nurse should recognize that this finding indicates which of the following?

Correct Answer is A

Explanation

A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Which of the following findings indicates a positive outcome?

Correct Answer is B

Explanation

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who has a ruptured uterus. Which of the following findings would the nurse expect to see on the EFM?

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A nurse is assessing a client who has a ruptured uterus. Which of the following findings should the nurse expect? (Select all that apply.).

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A nurse is assisting with an artificial rupture of membranes (AROM) for a client who is in active labor. The nurse should report which of the following findings to the provider immediately?

A nurse is caring for a client who is in the active phase of labor and has a slow cervical dilation. The nurse should monitor the client for which of the following complications?

A nurse is assessing a client who has a ruptured uterus.

Which of the following findings should the nurse expect? (Select all that apply.).