Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A nurse midwife is monitoring a client who is about to deliver the placenta. The client begins to complain of severe pain in the abdominal area. On assessment, the nurse midwife notes that there is a depression in the fundal area of the uterus. Increased flow of vaginal blood is also noted. The client is demonstrating signs of shock. The nurse suspects that the client is mostly experiencing:
  1. Rupture of uterus.
  2. Uterine inversion.
  3. Placenta previa.
  4. Abruptio placenta.
Explanation
Answer: B - The client is demonstrating signs of uterine inversion, a condition in which the uterus completely or partly turns inside out. It usually occurs during delivery or after the delivery. The nurse midwife must monitor the client for signs of hemorrhage and shock.
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