Diagnosis and treatment
Diagnosis and treatment ( 10 Questions)
A nurse is performing a physical examination of a mother and the fetus who are suspected to have a ruptured uterus.
What are some of the signs and symptoms that the nurse should look for? (Select all that apply.).
fetal parts palpable through the abdominal wall or under the pubic bone are not a sign of uterine rupture, but of uterine inversion. This is a rare condition where the uterus turns inside out after delivery.
fetal heart rate above 160 beats per minute is not a sign of uterine rupture, but of fetal tachycardia. This is a condition where the fetus’s heart rate is abnormally fast, usually due to maternal fever, infection, dehydration, or fetal distress.
A ruptured uterus is a serious complication where the uterus tears or breaks open, usually along the scar line of a previous cesarean delivery.
It can cause severe bleeding and fetal distress. Some of the signs and symptoms of a ruptured uterus are:
• Abdominal pain, tenderness, and rigidity: This is caused by the internal bleeding and the loss of uterine muscle tone.
• Vaginal bleeding and signs of shock: This is due to the hemorrhage from the rupture site and the hypovolemia (low blood volume) in the mother.
• Absent or decreased fetal movements: This is because the fetus may slip into the mother’s abdomen or lose oxygen due to the rupture.