UTERINE RUPTURE

UTERUS

Which hollow, pear-shaped muscular organ is located in the pelvic cavity between the bladder anteriorly and the rectum posteriorly?

UTERUS

Which organ is approximately 7–8 cm long, 5 cm wide, and 2.5 cm deep, weighs about 60 g, and functions to receive the ovum, provide a site for implantation and nutrient exchange, protect the developing fetus, and contract to deliver the fetus during birth?

ENDOMETRIUM

Which uterine layer is the inner glandular tissue that responds to hormones and either supports pregnancy or sheds as menses?

MYOMETRIUM

Which uterine layer is the middle triple-layered smooth muscle that expels the fetus, prevents preterm labor, and constricts blood vessels after birth?

PERIMETRIUM

Which uterine layer is the outer connective tissue that provides structural support?

UTERINE RUPTURE

Which medical emergency involves the spontaneous tearing of the uterus before or during labor, may result in the fetus being expelled into the peritoneal cavity, and presents with signs such as abdominal pain, vomiting, vaginal bleeding, hypovolemic shock, and fetal distress?

FORCEPS DELIVERY

Mrs. X is now transferred to the labor room for the vaginal delivery. The nurse would monitor the client closely for the risk of uterine rupture if which of the following occurred?

Because scar tissue is less flexible than the intact wall of the uterus and cannot stretch during labor, so as pressure builds while the baby moves through the birth canal, the uterus may tear.

Why does prolonged labor or a previous cesarean section or uterine surgery increase the risk of uterine rupture?

Scar tissue from a previous cervical injury may burst open during labor.

Why do a scarred cervix and obstructed labor increase the risk of uterine rupture?

It causes excessively strong uterine contractions.

Why does unwise use of oxytocin increase the risk of uterine rupture?

The enlarged uterus and increased pressure weaken uterine and pelvic muscles.

Why does multiple gestation increase the risk of uterine rupture?

It makes labor longer and more difficult for the baby to pass through the birth canal.

Why does abnormal fetal presentation increase the risk of uterine rupture?

COMPLETE UTERINE RUPTURE

Which type of uterine rupture involves tearing through the endometrium, myometrium, and perimetrium, and presents with signs such as stopped uterine contractions, visible uterine swelling, hemorrhage, rapid weak pulse, falling blood pressure, cold clammy skin, absent fetal heart sounds, and hypotensive shock?

INCOMPLETE UTERINE RUPTURE

Which type of uterine rupture extends to the peritoneum but not into the peritoneal cavity, presenting with localized tenderness, persistent lower abdominal pain, and gradual changes in maternal vital signs and fetal heart rate?

HEMOPERITONEUM

Which diagnostic procedure detects internal bleeding where blood accumulates in the peritoneal cavity, a space between the abdominal organs and the inner abdominal wall?

ULTRASOUND

Which diagnostic procedure can visualize a uterine wall defect with an empty uterus and the fetus located outside the uterine cavity?

To replace fluids lost from the body.

Why is fluid replacement therapy included in the nursing management of uterine rupture?

To control bleeding and deliver the fetus.

Why is the client prepared for possible laparotomy?

Pregnancy increases the risk of repeated rupture.

Why are most women advised not to conceive after a uterine rupture?

Spiritual care helps reduce stress and improves coping and quality of life.

Why is the use of clergy or counselors recommended for the client?

LAPAROTOMY

Which medical procedure involves making a large abdominal incision to examine or treat abdominal conditions, and is used to control bleeding and deliver the fetus in cases of uterine rupture?

CESAREAN HYSTERECTOMY

Which medical procedure involves the removal of the uterus during a cesarean delivery, often after a uterine rupture, resulting in permanent loss of childbearing ability and requiring careful consent?