A nurse is preparing to administer oxytocin to a client who has a previous cesarean delivery with a vertical uterine incision.

The nurse should be aware that this client has an increased risk for which of the following adverse effects?

Uterine atony.

Uterine inversion.

Uterine rupture.

Uterine infection.

Answer and Explanation

The Correct Answer is C

Oxytocin is a hormone that stimulates uterine contractions and can be used to induce or augment labor. However, it also increases the risk of uterine rupture, especially in women who have a scarred uterus from a previous cesarean delivery with a vertical uterine incision. A vertical uterine incision is made in the contractile part of the uterus and is more likely to tear under stress than a low transverse incision, which is made in the lower segment of the uterus.

Normal ranges for oxytocin infusion during labor are 0.5 to 20 milliunits per minute, depending on the indication and maternal and fetal status. The infusion rate should be adjusted according to the frequency and strength of uterine contractions and the progress of cervical dilation.

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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 preparing to administer oxytocin to a client who has a previous cesarean delivery with a vertical uterine incision. The nurse should be aware that this client has an increased risk for which of the following adverse effects?

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 assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F). The nurse notes that the amniotic fluid is foul-smelling. Which of the following actions should the nurse take first?

A nurse is preparing to administer oxytocin to a client who has a previous cesarean delivery with a vertical uterine incision. The nurse should be aware that this client has an increased risk for which of the following adverse effects?

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

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?

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?

A nurse is preparing to assist with an emergency cesarean delivery for a client who has obstructed labor and excessive vaginal bleeding. The nurse should anticipate administering which of the following medications to prevent hemorrhage?

A nurse is preparing to administer oxytocin to a client who has a previous cesarean delivery with a vertical uterine incision.

The nurse should be aware that this client has an increased risk for which of the following adverse effects?