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    Paediatrics and maternity proctored exam (examplify)

    The nurse is reviewing the charts of four clients in active labor. Which of the clients should the nurse monitor carefully for a potential uterine rupture?

    Explanation & Rationale

    Rationale: A. A first-time pregnant woman (G1P0000) with preeclampsia does not have a risk of uterine rupture related to prior uterine surgery. B. A young multigravida without prior uterine surgery generally has a lower risk of rupture. C. A client undergoing trial of labor after cesarean section (TOLAC) has a scarred uterus, which increases the risk of uterine rupture during labor. D. A history of fetal demise alone does not increase the risk of uterine rupture unless related to uterine surgery or trauma.

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