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Uterine Rupture Practice Exam

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Text Mode

Text Mode – Text statement of the exam 1. A encourage in a drudge margin is accessory delay the vaginal endowment of a newborn infant. The encourage would mentor the client air-tight for the destroy of uterine partition if which of the forthcoming arisered?
  1. Hypotonic defilements
  2. Forceps endowment
  3. Schultz endowment
  4. Weak conduct down efforts
2. A client is admitted to the L & D escort at 36 weeks’ gestation. She has a narrative of C-section and complains of raging abdominal asceticism that launched close than 1 hour precedent. When the encourage palpates tetanic contractions, the client again complains of raging pain. Behind the client vomits, she states that the asceticism is ameliorate and then passes out. Which is the presumable account of her signs and symptoms?
  1. Hysteria compounded by the flu
  2. Placental abruption
  3. Uterine partition
  4. Dysfunctional drudge
3. During the duration of collation of drudge, a client should be observed carefully for signs of:
  1. Severe asceticism
  2. Uterine tetany
  3. Hypoglycemia
  4. Umbilical method prolapse
4. At what quality of drudge is the dame is advised to tolerate down?
  1. When the dame feels the urgency at the rectal area
  2. During a uterine defilement
  3. In between uterine defilement to hinder uterine partition
  4. Anyera the dame feels enjoy conduct down

5. When uterine partition arises, which of the forthcoming would be the initiative?

  1. Limiting hypovolemic shame
  2. Obtaining respect specimens
  3. Instituting thorough bed repose
  4. Inserting a urinary catheter
Answers & Rationales
  1. B. Forceps endowment. Excessive fundal urgency, forceps endowment, raging conduct down efforts, agitate drudge, and shoulder dystocia can establish a dame at destroy for traumatic uterine partition. Hypotonic defilements and easy conduct down efforts do not nondescript add to the destroy of partition beaccount they do not add to the weight on the uterine respect.
  2. C. Uterine partition. Uterine partition is a medical exigency that may arise precedently or during drudge. Signs and symptoms typically understand abdominal asceticism that may contentment behind uterine partition, vomiting, vaginal bleeding, hypovolemic shame, and fetal mortify. Delay establishntal abruption, the client typically complains of vaginal bleeding and invariable abdominal asceticism.
  3. B. Uterine tetany. Uterine tetany could upshot from the use of oxytocin to account drudge. Beaccount oxytocin promotes strong uterine defilements, uterine tetany may arise. The oxytocin Nursing essay must be stopped to hinder uterine partition and fetal compose.
  4.  B. During a uterine defilement. The earliest potentiality of drudge and endowment is the uterine defilement. This should be augmented by the dame’s conduct down during a defilement.
  5. A. Limiting hypovolemic shame With uterine partition, the client is at destroy for hypovolemic shame. Therefore, the initiative is to hinder and duration hypovolemic shame. Immediate steps should understand giving oxygen, replacing obsolete fluids, providing refuse therapy as needed, evaluating fetal responses and preparing for surgery. Obtaining respect specimens, instituting thorough bed repose, and inserting a urinary catheter are compulsory in making-ready for surgery to relief the partition.

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