Which client is most at risk for a uterine rupture?
a. A gravida 4 who had a classic cesarean incision
b. A gravida 5 who had two vaginal births and one cesarean birth
c. A gravida 3 who has had two low-segment transverse cesarean births
d. A gravida 2 who had a low-segment vertical incision for birth of a 10-lb infant
ANS: A
The classic cesarean incision is made into the upper uterine segment. This part of the uterus contracts forcefully during labor, and an incision in this area may rupture in subsequent pregnancies. The client who had two vaginal deliveries and one cesarean is not a high-risk candidate. Low-segment transverse cesarean scars do not predispose her to uterine rupture. Low-segment incisions do not raise the risk of uterine ruptures.
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