A nurse is caring for a 36-year-old female client in the emergency unit.

Exhibits

Complete the following sentence by using the lists of options. Upon reviewing the client's medical record, the nurse determines that the client is at risk for developing which of the following complications? Select. The nurse should recognize that the client is most likely experiencing a Select. and is at risk for developing if not treated quickly.

Choice A rationale

Dexamethasone is a corticosteroid and is not used for treating ectopic pregnancy.

Choice B rationale

Clomid (clomiphene citrate) is used to stimulate ovulation, not to treat ectopic pregnancy.

Choice C rationale

Methotrexate is a chemotherapeutic agent that effectively stops the growth of ectopic pregnancy cells, allowing the pregnancy tissue to be reabsorbed by the body.

Choice D rationale

Progesterone supports pregnancy and is not used to treat ectopic pregnancy.

Based on the given case, here's why the answer is "Threatened miscarriage" and "Hemorrhagic shock":

Threatened Miscarriage

• Positive pregnancy test: The client has a confirmed intrauterine pregnancy.
• Vaginal bleeding and cramping: The client presents with symptoms commonly associated with threatened miscarriage, such as significant abdominal cramping and moderate bleeding with clots.
• Cervical os closed: In a threatened miscarriage, the cervix remains closed, which is consistent with the physical examination findings.

Hemorrhagic Shock

• Moderate bleeding with clots: The client reports moderate bleeding which, if it continues unchecked, can lead to significant blood loss.
• Severe abdominal cramping: Severe and constant abdominal pain can be associated with heavy bleeding.
• Vital signs: Although the current vital signs are stable, prolonged or heavy bleeding can quickly lead to a drop in blood pressure and other signs of shock.

By recognizing these symptoms and acting promptly, the nurse can help prevent complications such as hemorrhagic shock.