There are five patients in active labor in the labor unit. Which ...

[gonzo233]

There are five patients in active labor in the labor unit. Which women should the nurse monitor carefully for the potential of uterine rupture? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. Age 15, G3 in active labor
  2. Age 22, G1 with eclampsia
  3. Age 25, G4, last delivery by cesarean section
  4. Age 32, G2, first baby died during labor
  5. Age 27, G2, last delivery 11 months ago

Question 2

A pregnant patient who was of normal prepregnancy weight is now 30 weeks pregnant. She asks the nurse what appropriate weight gain for her should be. The nurse's best response is:
 
  1. 2535 pounds.
  2. 3040 pounds.
  3. 1718 pounds.
  4. Less than 15 pounds.

[Liamb2179]

Answer to Question 1

3,5
Rationale 1: Although this patient is only 15, she is not at high risk for uterine rupture.
Rationale 2: Eclampsia is not a high risk for uterine rupture.
Rationale 3: A woman who has had a previous cesarean section is at risk for uterine rupture.
Rationale 4: A woman who has a history of fetal death is not at increased risk for uterine rupture.
Rationale 5: A woman who does not have at least 18 months between deliveries is at greater risk for uterine rupture.

Answer to Question 2

1
Rationale 1: An appropriate weight gain for a woman of normal weight before pregnancy would be 2535 pounds.
Rationale 2: This is not the correct range for woman of normal weight before pregnancy.
Rationale 3: This is not the correct range for woman of normal weight before pregnancy.
Rationale 4: A woman of normal weight before pregnancy should gain more than 15 pounds by 30 weeks.