A client is admitted with a threatened abortion. Which assessment findings would the nurse expect? Select all that apply. (Select All that Apply.)

Passage of fetal tissue

Bright red vaginal bleeding

Severe cramping and pelvic pain

Closed cervix upon examination

Mild to moderate lower abdominal cramping

Answer and Explanation

Correct Answer : B,D,E

A. Passage of fetal tissue – This finding is more consistent with an incomplete or complete abortion, not a threatened abortion.

B. Bright red vaginal bleeding – A threatened abortion involves vaginal bleeding during the first 20 weeks of pregnancy, often bright red in color. The cervix remains closed, and fetal cardiac activity may still be present.

C. Severe cramping and pelvic pain – Severe pain is more typical of an inevitable or incomplete abortion rather than a threatened abortion.

D. Closed cervix upon examination – In a threatened abortion, the cervix remains closed. If the cervix opens, the risk of progressing to an inevitable abortion increases.

E. Mild to moderate lower abdominal cramping – Mild cramping or lower abdominal discomfort is common in a threatened abortion due to uterine contractions. However, severe cramping and passage of fetal tissue would indicate a more advanced pregnancy loss.

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Correct Answer is D

Explanation

A. Feeling anxious about the baby's health and well-being, but still able to care for the baby effectively
Mild anxiety about the baby’s health is a common experience for new mothers and does not necessarily indicate PPD. It becomes concerning if anxiety becomes overwhelming or interferes with daily functioning.

B. Experiencing occasional mood swings and irritability while adjusting to the new role of motherhood
Mood swings and irritability are normal postpartum adjustments, often due to hormonal changes, sleep deprivation, and new responsibilities. These symptoms typically resolve within a few weeks.

C. Feeling overwhelmed and having difficulty sleeping due to the demands of a newborn
Feeling overwhelmed and sleep disturbances are common in the postpartum period due to frequent infant care needs. However, severe or persistent sleep disturbances, especially with loss of interest in daily activities, may indicate PPD.

D. Persistent feelings of sadness, severe fatigue, and loss of interest in activities, including caring for the baby
Postpartum depression is characterized by prolonged sadness, extreme fatigue, withdrawal, and difficulty bonding with the baby. These symptoms extend beyond normal postpartum blues (which typically resolve within two weeks) and require medical intervention, including therapy and possibly medication.

A. Retained placental fragments B. Uterine atony C. Puerperal infection D. Thrombophlebitis

Correct Answer is B

Explanation

A. Retained placental fragments
This is incorrect because retained placental fragments are more commonly associated with prolonged third-stage labor or incomplete placental expulsion, rather than fetal macrosomia.

B. Uterine atony
This is correct because a large baby (macrosomia) causes overdistension of the uterus, increasing the risk of uterine atony (failure of the uterus to contract effectively). This can lead to postpartum hemorrhage.

C. Puerperal infection
This is incorrect because puerperal infection is usually related to prolonged rupture of membranes, poor hygiene, or invasive procedures, rather than fetal size alone.

D. Thrombophlebitis
While pregnancy increases the risk of clot formation, the most immediate concern for this client is uterine atony and postpartum hemorrhage.

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A client is admitted with a threatened abortion. Which assessment findings would the nurse expect? Select all that apply. (Select All that Apply.)

Nursing Test Bank

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