Causes and risk factors
Total Questions : 9
Showing 9 questions, Sign in for moreA nurse is caring for a client who is in labor and has a history of female genital mutilation (FGM).
The nurse should be aware that FGM can increase the risk of which of the following complications?
Explanation
All of the above.FGM can increase the risk of hemorrhage, infection, and obstructed labor due to the damage and scarring of the female genital organs.
Normal ranges for some relevant indicators are:
• Blood loss during vaginal delivery: less than 500 ml
• Blood loss during cesarean section: less than 1000 ml
• Duration of first stage of labor: 12 to 19 hours for nulliparous women; 10 to 14 hours for multiparous women
• Duration of second stage of labor: up to 3 hours for nulliparous women; up to 2 hours for multiparous women
A nurse is reviewing the partograph of a client who is in labor.
The nurse notes that the fetal head descent is below the alert line but above the action line.
What does this indicate?
Explanation
This is because the fetal head descent is below the alert line but above the action line on the partograph.The alert line indicates the average rate of cervical dilation of 1 cm per hour, and the action line is 4 hours to the right of the alert line.If the labor curve crosses to the right of the alert line, it means that the labor is slow and needs closer monitoring or referral.If the labor curve crosses to the right of the action line, it means that the labor is obstructed or prolonged and needs intervention such as oxytocin augmentation or cesarean delivery.
A nurse is assessing a client who is in labor and has a large baby with a cephalopelvic disproportion (CPD).
The nurse should monitor the client for signs of which of the following fetal complications?
Explanation
This is a complication that can occur when the baby’s head is delivered but one or both shoulders becomes “stuck” behind the pelvic bone.This can happen when the baby is too large or out of position when entering the pelvis, which are possible causes of cephalopelvic disproportion (CPD).
Normal ranges for fetal head circumference are 32 to 38 cm at term.
Normal ranges for maternal pelvic inlet diameter are 11 to 13 cm for anteroposterior diameter and 13 to 14 cm for transverse diameter.
A nurse is teaching a group of pregnant women about the risk factors for prolonged and obstructed labor.
Which of the following statements by one of the women indicates a need for further teaching?
Explanation
This statement indicates a need for further teaching because drinking fluids does not prevent polyhydramnios, which is a condition of having too much amniotic fluid around the baby.In fact, drinking too much fluid may worsen the condition by increasing the blood volume and urine output of the mother.
A nurse is preparing to perform a vacuum extraction for a client who has an obstructed labor due to a face presentation.
Which of the following actions should the nurse take? (Select all that apply.).
Explanation
The nurse should obtain informed consent from the client before performing a vacuum extraction, as it is an operative vaginal delivery that carries some risks for the mother and the baby.The nurse should also monitor the fetal heart rate continuously during the procedure, as vacuum extraction can cause fetal distress or scalp injuries.
A nurse is caring for a client who is in active labor and has a history of two previous cesarean deliveries.
The nurse notes that the client’s fetal heart rate is dropping and the client reports severe abdominal pain.
The nurse suspects that the client has a ruptured uterus.
What is the priority action for the nurse to take?
Explanation
Notify the provider and prepare for an emergency cesarean delivery.This is because a ruptured uterus is a life-threatening complication that requires immediate surgical intervention to save the mother and the fetus.
The nurse should also monitor the vital signs and fetal heart rate of the client and administer oxygen and IV fluids as needed.
A nurse is teaching a prenatal class about the complications of labor and delivery.
The nurse explains that a ruptured uterus is a rare but life-threatening condition that can occur during labor.
Which of the following statements by a class participant indicates a need for further teaching?
Explanation
A ruptured uterus can be prevented by avoiding induction or augmentation of labor.This is because induction or augmentation of labor can increase the pressure and stress on the uterine wall, especially if there is a previous C-section scar, and cause it to tear open.
The normal range for uterine rupture is less than 1 percent of pregnant women.It affects about 1 in 300 deliveries for women who have had one C-section delivery, and up to 9 in 300 deliveries for women who have had more than one C-section delivery.
A nurse is assessing a client who is in labor and has a history of uterine surgery.
The nurse observes that the client’s contractions are becoming more frequent and intense, but her cervix is not dilating.
The nurse suspects that the client has uterine tachysystole, which can lead to uterine rupture.
What is an appropriate nursing intervention for this client?
Explanation
Uterine tachysystole is a condition where the uterus contracts too frequently and intensely, which can reduce blood flow and oxygen to the fetus and increase the risk of uterine rupture, especially in women who have had previous uterine surgery.Oxytocin is a hormone that stimulates uterine contractions and can cause or worsen uterine tachysystole.Therefore, if oxytocin is being used to augment labor, it should be discontinued immediately to prevent further complications.
A nurse is evaluating the outcomes of care for a client who had a ruptured uterus during labor and underwent an emergency hysterectomy.
Which of the following outcomes indicates that the nursing care was effective?
Explanation
This outcome indicates that the nursing care was effective in preventing complications such as hemorrhage and sepsis after a ruptured uterus and an emergency hysterectomy.
Sign Up or Login to view all the 9 Questions on this Exam
Join over 100,000+ nursing students using Nursingprepexams’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.
Sign Up Now
