Which of the following patients is most at risk for uterine rupture?

A G3P2 whose youngest child is 3 years old.

A G2P1 who has had one prior lower transverse cesarean section.

A CS4 who has had three prior lower transverse cesarean sections.

AG4P3 whose last baby was born at term gestation.

Answer and Explanation

The Correct Answer is C

A CS4 who has had three prior lower transverse cesarean sections is at the highest risk for uterine rupture. The risk of uterine rupture increases with each subsequent cesarean section, and a history of three or more prior lower transverse cesarean sections is considered a significant risk factor for uterine rupture.

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Correct Answer is A

Explanation

Based on the provided information, the probable diagnosis for the spontaneous abortion in this woman would be a threatened abortion, since the cervix is closed and there is no evidence of expulsion of fetal or placental tissue. A threatened abortion is defined as vaginal bleeding occurring before the 20th week of gestation, with a closed cervical os, and no expulsion of fetal or placental tissue.

The other types of spontaneous abortion are defined as follows:

B. Inevitable abortion: vaginal bleeding and cramping with an open cervical os, with or without expulsion of fetal or placental tissue

C. Missed abortion: fetal demise without expulsion of fetal tissue, and may be associated with a closed cervical os and absence of uterine contractions

D. Incomplete abortion: partial expulsion of fetal or placental tissue, with or without vaginal bleeding, and may be associated with an open cervical os and uterine contractions

A. "My provider will not perform any vaginal exams or vaginal ultrasounds. B. I still have the opportunity to labor and delivery my baby vaginally." C. 'Biophysical profiles will become important to monitor my baby. D. "At this point, I will not need betamethasone to mature my baby's lungs."

Correct Answer is B

Explanation

Placenta previa is a condition where the placenta implants low in the uterus, covering part or all of the cervix. This can cause bleeding and can be dangerous for both the mother and the baby. In cases of placenta previa, a cesarean delivery is necessary to avoid complications. Therefore, it is not safe for the patient to deliver vaginally.

Betamethasone is indicated in delivery anticipated before 34 weeks gestation. Vaginal exams may cause more bleeding in the event of placenta previa.

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Which of the following patients is most at risk for uterine rupture?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is providing education for a patient who has been newly diagnosed with a placenta previa at 37 weeks' gestation. The nurse understands that teaching has not been effective when the patient states:

Correct Answer is B

Explanation

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