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?
Placenta previa.
Uterine rupture.
Cord prolapse.
Amniotic fluid embolism.
The Correct Answer is B
This is a rare but serious complication that occurs when the uterus tears during labor.
It can cause severe bleeding, fetal distress, and maternal shock.
It can also lead to hysterectomy or death. Uterine rupture is more likely to occur in women who have had previous cesarean sections or other uterine surgeries.
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 D
Explanation
This medication is a uterotonic agent that stimulates the contraction of the uterus and helps prevent hemorrhage after cesarean delivery.It is especially indicated for clients who have obstructed labor and excessive vaginal bleeding, as they are at high risk of postpartum hemorrhage.
Normal ranges for uterine tone are less than 10 mm Hg at rest and less than 25 mm Hg during contractions.
Normal ranges for blood pressure are 110-140 mm Hg systolic and 60-90 mm Hg diastolic.
Normal ranges for heart rate are 60-100 beats per minute.
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