When a client arrives on the labor and delivery unit, she informs the nurse that she has been having contractions for the last 5 hours. Now the pain is constant and not cyclical as it was earlier…

The correct answer is C. Abdominal rigidity. (A) This symptom would indicate a rupture of the membranes, which would be expected during labor. There would be no cause for alarm if the fluid were clear. (B) With uterine rupture and the risk of maternal shock secondary to blood loss, the most likely sign would be…

Physiological Integrity: Reduction of Risk Potential

Question

When a client arrives on the labor and delivery unit, she informs the nurse that she has been having contractions for the last 5 hours. Now the pain is constant and not cyclical as it was earlier. The nurseconsiders the possibility of uterine rupture. Which of the following symptoms would be consistent with a uterine rupture?

Options

AA large gush of clear fluid from the vagina
BSystolic hypertension
CAbdominal rigidity
DIncreased fetal movements

How the community answered

(38 responses)

A
8% (3)
B
3% (1)
C
76% (29)
D
13% (5)

Explanation

(A) This symptom would indicate a rupture of the membranes, which would be expected during labor. There would be no cause for alarm if the fluid were clear. (B) With uterine rupture and the risk of maternal shock secondary to blood loss, the most likely sign would be hypotension indicating hypovolemic shock. (C) In the event of a uterine rupture, an abdominal examination would likely reveal rigidity or (D) The most likely finding would be a decrease in fetal movement related to fetal distress due to impaired uteroplacental blood flow. Maintaining the client on her left side would help to maximize uterine blood flow.

Topics

#uterine rupture#abdominal rigidity#labor complications#obstetric emergency

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