Signs and symptoms
Signs and symptoms ( 10 Questions)
A nurse is caring for a client who has a history of previous cesarean delivery with a low transverse incision.
The client is in labor and wants to have a vaginal birth after cesarean (VBAC).
The nurse should monitor the client closely for signs of which complication?
Placenta previa is a condition where the placenta covers the cervical opening, which can cause painless bleeding during labor.
It is not related to previous cesarean delivery.
The client with any prior history of uterine surgery is at increased risk for a uterine rupture. A falling blood pressure and increasing pulse is a sign of hemorrhage, and in this client a uterine rupture needs to be a first consideration.
Placental abruption is a condition where the placenta separates from the uterine wall, which can cause painful bleeding and fetal distress.
It can be caused by trauma, hypertension, or cocaine use, but not by previous cesarean delivery.
Umbilical cord prolapse is a condition where the cord slips through the cervix before the baby, which can cause cord compression and fetal hypoxia.
It can be caused by a low-lying fetus, breech presentation, or premature rupture of membranes, but not by previous cesarean delivery.
The client with any prior history of uterine surgery is at increased risk for a uterine rupture. A falling blood pressure and increasing pulse is a sign of hemorrhage, and in this client a uterine rupture needs to be a first consideration.