A woman presents to the emergency department with complaints of bleeding and cramping. The initial nursing history is significant for the last menstrual period 6 weeks ago. On sterile speculum examination, the primary 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? Select one:
Inevitable
Septic
c Incomplete
Missed
Threatened
The Correct Answer is E
a. Inevitable abortion is characterized by vaginal bleeding, cramping, and dilated cervical os.
b. Septic abortion is associated with infection and may present with fever, chills, and foul-smelling vaginal discharge.
c. Incomplete abortion involves vaginal bleeding, cramping, and dilation of the cervical os with passage of some products of conception.
d. A missed abortion is when there is no bleeding or cramping, but the pregnancy has stopped developing and there is no fetal heartbeat. The cervix may be closed or slightly open, and the uterus may be smaller than expected for gestational age.
e. Threatened abortion involves vaginal bleeding with a closed cervical os and no passage of products of conception. It signifies a potential abortion, but the pregnancy may continue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D"]
Explanation
a. This is a potential complication of diabetes during pregnancy but is not a primary reason for preconception counseling.
b. This is a potential complication of pregnancy but is not a primary reason for preconception counseling.
c. This is a potential complication of diabetes during pregnancy but is not a primary reason for preconception counseling.
d. Poor glycemic control before and during early pregnancy can increase the risk of birth defects in the fetus, making preconception counseling critical for women with diabetes.
Correct Answer is B
Explanation
a. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect renal function.
b. Assessing cervix dilation is not related to magnesium sulfate toxicity.
c. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect neuromuscular function.
d. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect respiratory function.
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