Management of CareQuestion 1135 of 2368
A client with a previous cesarean birth is in labor. The monitor shows a sudden absence of contractions and a prolonged deceleration, and the client reports severe abdominal pain. What should the nurse do first?
- Increase the oxytocin infusion to restart contractions
- Encourage the client to walk to relieve the pain
- Call for assistance and prepare for an emergency cesarean birth
- Reposition the client and recheck in 30 minutes
Show answer
Correct answer: Call for assistance and prepare for an emergency cesarean birth
This picture suggests uterine rupture, an emergency with rapid hemorrhage and fetal hypoxia.
Source: Nursing Health Promotion (Open RN, Chippewa Valley Technical College, 2025), Labor & Delivery Care: Uterine Rupture. Licensed under CC BY 4.0.
Practice the topic "Management of Care"Questions last reviewed: 18 October 2026