A nurse is caring for a client who has a history of previous cesarean delivery with a low transverse incision.
The client is in labor and wants to have a vaginal birth after cesarean (VBAC).
The nurse should monitor the client closely for signs of which complication?
Placenta previa
Uterine rupture
Placental abruption
Umbilical cord prolapse.
The Correct Answer is B
The client with any prior history of uterine surgery is at increased risk for a uterine rupture. A falling blood pressure and increasing pulse is a sign of hemorrhage, and in this client a uterine rupture needs to be a first consideration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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