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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.).

A.

Sudden onset of severe abdominal pain

B.

Loss of uterine contractions or tone

C.

Vaginal bleeding (may be minimal)

D.

Shock (hypotension, tachycardia, pallor)

E.

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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Related Questions

Correct Answer is D

Explanation

This is a sign of umbilical cord prolapse, which is a medical emergency that requires immediate delivery of the baby.The umbilical cord can become compressed and cut off oxygen and blood supply to the baby.

Correct Answer is ["A","B","C","D"]

Explanation

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 paindue to the tear in the uterine wall.

• Loss of uterine contractions or tonedue 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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