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 D

Explanation

The question that the nurse would prioritize the least during the assessment is "Do you plan to have a vaginal or cesarean delivery?" This is because the priority at this point is to determine the urgency of the situation and assess the patient's current condition. The patient's delivery plan can be addressed later after the initial assessment is completed and the patient's stability has been established.

The other questions are all important in determining the cause and severity of the bleeding and the appropriate course of action. The question about the number of weeks is important to determine the gestational age and potential causes of bleeding, as some causes are more common in certain stages of pregnancy. The question about pain can help to determine the possible causes of bleeding and the patient's comfort level. The question about the last ultrasound is important to determine the location of the placenta and whether there are any abnormalities or potential complications.

A. "Smoking can reduce the quality of your sperm." B. "Smoking can give you lung cancer, even though it has no effect on sperm." C. "Only marijuana cigarettes affect sperm count." D. "Your sperm count seems to be okay in the first semen analysis."

Correct Answer is A

Explanation

Smoking has been linked to a variety of health issues, including decreased fertility in both men and women. It can cause damage to sperm DNA and reduce sperm motility, which can make it more difficult for sperm to reach and fertilize an egg. Therefore, smoking can contribute to infertility issues. It's important for the man to quit smoking or at least reduce his cigarette consumption to increase his chances of conception with his wife.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient arrives at OB triage with a complaint of vaginal bleeding. The nurse would prioritize all of the following questions during the assessment except:

Correct Answer is D

Explanation

A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. The nurse's most appropriate response is:

Correct Answer is A

Explanation

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