A woman presents to the emergency department complaining of bleeding and cramping. The initial history is significant for a last menstrual period 6 weeks ago. On sterile speculum examination, the care provider finds that the cervix is closed. The anticipated plan of care for this woman would be based on a probable diagnosis of which type of spontaneous abortion?

Threatened

Inevitable

Missed

Incomplete

Answer and Explanation

The Correct Answer is A

Based on the provided information, the probable diagnosis for the spontaneous abortion in this woman would be a threatened abortion, since the cervix is closed and there is no evidence of expulsion of fetal or placental tissue. A threatened abortion is defined as vaginal bleeding occurring before the 20th week of gestation, with a closed cervical os, and no expulsion of fetal or placental tissue.

The other types of spontaneous abortion are defined as follows:

B. Inevitable abortion: vaginal bleeding and cramping with an open cervical os, with or without expulsion of fetal or placental tissue

C. Missed abortion: fetal demise without expulsion of fetal tissue, and may be associated with a closed cervical os and absence of uterine contractions

D. Incomplete abortion: partial expulsion of fetal or placental tissue, with or without vaginal bleeding, and may be associated with an open cervical os and uterine contractions

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Correct Answer is C

Explanation

Health literacy is defined as the degree to which an individual can obtain, process, and

understand basic health information and services needed to make appropriate health decisions. Basic functional health literacy refers to an individual's ability to read and understand simple health information and instructions.

While all the clients mentioned may be demonstrating health literacy, the ability to read and understand discharge instructions after routine surgery is a basic functional health literacy skill. This client is able to comprehend written health information and follow simple instructions, which is an important aspect of managing their own health care.

The other clients mentioned may be displaying a higher level of health literacy, such as the client who is teaching a class about cancer survival or the client with Type II Diabetes who is using nutritional information to make a grocery list. These individuals may have a greater ability to understand and apply complex health information and navigate the healthcare system.

A. Client who had a breech presentation in her last pregnancy and this pregnancy is a vertex presentation. B. Client who dilated to 6 cm in her last delivery and failed to progress beyond this point after more than 5 hours of labor. C. Client who had an emergency cesarean section because of fetal distress with a classical incision. D. Diabetic client whose last infant was over 10 lbs., and the provider suspects this infant is larger due to the current ultrasound result.

Correct Answer is A

Explanation

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client is displaying health literacy at the basic functional level?

Correct Answer is C

Explanation

Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?

Correct Answer is A

Explanation

A patient arrives at OB triage with a complaint of vaginal bleeding. The nurse would prioritize all of the following questions during the assessment except:

During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have:

Which of the following is not included in the Health Planning Model?

Educating a client about starting nifedipine (Procardia) for preterm labor prevention, the nurse knows that her educational plan for this client should include which of the following?

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

Which of the following complications is not associated with cesarean births?

Which of the following needs to be considered when using the Health Belief Model (HBM)?