PROLONGED AND OBSTRUCTED LABOR AND RUPTURED UTERUS STUDY QUESTIONS −EXPECTED QUESTIONS AND REVISED CORRECT ANSWERS PROVIDED WITH DETAILED RATIONALES

PROLONGED AND OBSTRUCTED LABOR AND RUPTURED
UTERUS STUDY QUESTIONS −EXPECTED QUESTIONS AND
REVISED CORRECT ANSWERS PROVIDED WITH DETAILED
RATIONALES
Table of Contents
Introduction .................................................................................................................................................. 1
Causes And Risk Factors ............................................................................................................................... 4
Signs And Symptoms .................................................................................................................................. 10
Diagnosis And Treatment........................................................................................................................... 16
Nursing Interventions And Care ................................................................................................................ 22
Summary..................................................................................................................................................... 25



Introduction
Question 1 :
A Nurse Is Caring For A Client Who Has Been In Labor For 14 Hours And Has Not Progressed
Beyond 4 Cm Dilation.
The Nurse Suspects That The Client Has Prolonged Labor Due To A Large Baby.
Which Of The Following Actions Should The Nurse Take First?
FEEDBACK:
This Is The First Action The Nurse Should Take To Determine The Well-Being Of The Baby And
The Possible Cause Of The Prolonged Labor.Prolonged Labor May Happen If The Baby Is Very Big
And Cannot Move Through The Birth Canal, Or If The Baby Is In An Abnormal Position.




Question 2 :
A Nurse Is Reviewing The Partograph Of A Client Who Is In Labor.
The Nurse Notes That The Cervical Dilation Curve Is Above The Alert Line And The Fetal Heart
Rate Is 160/Min.
The Nurse Should Recognize That These Findings Indicate Which Of The Following
Complications?
A. Obstructed Labor

, B. Ruptured Uterus
C. Fetal Distress
D. Infection.


FEEDBACK:
This Is Because The Cervical Dilation Curve Is Above The Alert Line, Which Means That The
Dilation Is Slower Than 1 Cm Per Hour And Indicates A Possible Obstruction In The Birth
Canal.Obstructed Labor Can Lead To Serious Complications Such As Fetal Distress, Infection,
Uterine Rupture, And Maternal Death.
The Question Does Not Provide Any Evidence Of Infection In This Case.




Question 3 :
A Nurse Is Caring For A Client Who Had A Previous Cesarean Delivery And Is Now In Labor With
Her Second Child.
The Client Reports A Sudden Sharp Pain In Her Lower Abdomen And Vaginal Bleeding.
The Nurse Should Suspect Which Of The Following Conditions?
A. Placenta Previa.
B. Uterine Atony.
C. Uterine Rupture.
D. Placental Abruption.


FEEDBACK: