What is a complication of uterine rupture?

Correct Answer: A

Rationale: The correct answer is A: DIC (Disseminated Intravascular Coagulation). Uterine rupture can lead to severe bleeding, causing DIC. This is because the release of blood into the abdomen triggers the body's clotting system, resulting in the consumption of clotting factors and platelets. This can lead to widespread clotting in small blood vessels and ultimately result in bleeding disorders. Summary: - B: Nuchal cord is when the umbilical cord is wrapped around the baby's neck, not directly related to uterine rupture. - C: Polyhydramnios is excessive amniotic fluid, not a direct complication of uterine rupture. - D: Oligohydramnios is decreased amniotic fluid, not a direct complication of uterine rupture.

Correct Answer: A

Rationale: The correct answer is A: shock. Uterine inversion is an emergency due to the risk of shock. When the uterus turns inside out, it can lead to severe bleeding and disruption of blood flow, causing hypovolemic shock. This can be life-threatening if not promptly addressed. Pain (choice B) and retained placenta (choice C) are potential complications of uterine inversion but do not pose the immediate threat of shock. Hypertension (choice D) is not directly related to the urgency of uterine inversion.

Correct Answer: C

Rationale: The correct answer is C: Prolonged second stage labor. Cocaine and methamphetamine use in pregnancy can lead to vasoconstriction, decreased blood flow to the uterus, and reduced oxygen supply to the fetus, resulting in uterine hyperactivity and fetal distress during labor. This can cause the second stage of labor to be prolonged as the uterus may struggle to effectively contract and progress labor. Explanation for other choices: A: Seizures - While cocaine and methamphetamine use can lead to seizures in pregnant individuals, this is not directly related to labor complications. B: Hypotonic contractions - Cocaine and methamphetamine use are more likely to cause hypertonic contractions (excessive uterine contractions) rather than hypotonic contractions. D: Prolonged first stage labor - Cocaine and methamphetamine use are more likely to impact the second stage of labor rather than the first stage.

Correct Answer: C

Rationale: The correct answer is C: Recognition of a Category II fetal heart rate pattern. This indicates fetal distress and potential compromise to the baby's well-being, necessitating immediate intervention like a cesarean delivery to prevent adverse outcomes. A: Maternal hypotension may require intervention but is not an emergent indication for a cesarean section. B: Maternal exhaustion can be managed with support and rest, not an immediate indication for cesarean delivery. D: Maternal fever may indicate infection but does not necessarily require cesarean delivery unless it poses a significant risk to the baby.

Correct Answer: B

Rationale: B is the correct answer because having the mother in a supine position with the neonate prone on her chest can potentially increase the risk of neonatal suffocation or accidental injury due to the baby slipping off. This position restricts the baby's ability to breathe properly and may lead to adverse outcomes. A: Sitting up with the neonate prone on her chest allows for better supervision and support for the baby's breathing. C: The neonate facing to the side is a safe position for skin-to-skin contact and breastfeeding. D: Neonate resting in semi-Fowler's position is a safe and comfortable position that allows for proper breathing and bonding between mother and baby.