A nurse in a clinic is caring for a client who is at 11 weeks of gestation and reports that she has had slight occasional and painless vaginal bleeding over the past 2 weeks. Following an examination by the provider, the client is told that the fetus has died and that the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings?

Incomplete miscarriage

Complete abortion

Missed abortion

Inevitable abortion

Answer and Explanation

The Correct Answer is C

a.   This occurs when some of the products of conception have been expelled from the uterus but some remain.
b.   This occurs when all of the products of conception have been expelled from the uterus.
c.   This occurs when the fetus has died but has not been expelled from the uterus.
d.   This occurs when the fetus has died and the cervix is dilated, but the products of conception have not been expelled from the uterus.

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Correct Answer is D

Explanation

a. While this is important, it is not the priority when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy.
b. This is important for managing the bleeding but is not the priority.
c. Monitoring uterine contractions is important, but assessing fetal heart rate (FHR) and maternal vital signs is the priority to determine the status of the fetus and mother.
d. Bleeding in late pregnancy can indicate placental abruption, which is a life- threatening condition for both the mother and the fetus. The nurse should monitor the FHR and maternal vital signs to assess the severity of the bleeding and the fetal and maternal well-being.

A. "This medication promotes ripening of the cervix." B. "This medication is used to treat preeclampsia." c "It causes relaxation of the uterine muscles." C. "It is used to treat genital herpes simplex virus."

Correct Answer is A

Explanation

a. Dinoprostone gel is a prostaglandin E2 (PGE2) analog that is used to ripen the cervix in preparation for induction of labor.
b. Dinoprostone gel is not used to treat preeclampsia.

c. Dinoprostone gel causes uterine contractions.

d. Dinoprostone gel is not used to treat genital herpes simplex virus.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to: Select one:

Correct Answer is D

Explanation

A nurse in a prenatal clinic is teaching a client who has a new prescription for Dinoprostone gel. Which of the following statements should the nurse include in the teaching? Select one:

Correct Answer is A

Explanation

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to: Select one:

Which finding on a prenatal visit at 12 weeks could suggest a hydatidiform mole (molar pregnancy)? Select one:

A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally and uses over-the-counter protection. On the basis of her history, what contraceptive method should she and her partner avoid?

A 37 weeks pregnant female reports to the nurse that she is sleeping in a supine position and feels dizzy after waking up in the morning. What advice does the nurse give to the patient? Select one: