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
The nurse should report the findings of a fever and foul-smelling amniotic fluid to the provider as soon as possible, as they may indicate an infection of the amniotic sac and fluid (chorioamnionitis).Chorioamnionitis can cause serious complications for both the mother and the baby, such as sepsis, preterm birth, and neonatal pneumonia.
Therefore, notifying the provider is the priority action.
Correct Answer is B
Explanation
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.
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