Inpatient Obstetric Nurse Practice Exam 2025 – Complete Prep Guide

The correct answer highlights that a high number of previous cesarean deliveries significantly increases the risk of uterine rupture in subsequent pregnancies. This is particularly important because each cesarean section creates a scar on the uterus, and as the number of scars increases, the integrity of the uterine wall may be compromised.

Uterine rupture occurs when the muscular wall of the uterus tears, which can lead to severe maternal and fetal complications, such as hemorrhage, fetal distress, and possible mortality. The risk is particularly elevated with each additional cesarean delivery due to the cumulative effect of scar tissue and the potential for alterations in the uterine anatomy.

This complication emphasizes the need for careful monitoring and planning for pregnancies following multiple cesarean deliveries. It also informs clinical decisions regarding the mode of delivery, with many healthcare providers opting for a planned cesarean delivery after multiple previous cesareans to mitigate this risk.

In contrast, while other options point to potential complications that may arise from a history of cesarean deliveries, they are not as directly linked. For instance, while placenta previa is a known risk in general and can be associated with previous surgeries, it is not exclusively tied to the number of cesareans. Chronic pelvic pain and preterm