Signs and symptoms
Signs and symptoms ( 10 Questions)
A nurse is assessing a client who has a ruptured uterus.
Which of the following findings should the nurse expect? (Select all that apply.).
fetal distress is not a symptom of a ruptured uterus, but a consequence of it. Fetal distress occurs when the fetus is deprived of oxygen and blood supply due to the rupture. Fetal distress may manifest as bradycardia (slow heart rate) or decelerations (drops in heart rate) on the fetal monitor. Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, and for fetal heart rate are 110 to 160 beats per minute.
A ruptured uterus is a serious complication that can cause severe bleeding, fetal distress and shock in the mother.
The symptoms of a ruptured uterus may include:
• Sudden onset of severe abdominal pain due to the tear in the uterine wall.
• Loss of uterine contractions or tone due to the disruption of the uterine muscle.
• Vaginal bleeding (may be minimal) due to the blood loss from the uterine vessels.
• Shock (hypotension, tachycardia, pallor) due to the hemorrhage and reduced blood flow to vital organs.
Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, and for fetal heart rate are 110 to 160 beats per minute.