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The client has been diagnosed with threatened abortion. The description of threatened abortion includes which of the following?

A.

Cramping and backache with light spotting

B.

Cervix is dilated

C.

Passage of all products of conception has occurred

D.

Fetus died in utero but is not expelled

Answer and Explanation

The Correct Answer is A

A. Cramping and backache with light spotting: These are classic signs of a threatened abortion, where the pregnancy is at risk but not yet lost.

B. Cervix is dilated: A dilated cervix indicates an inevitable or incomplete abortion, not a threatened one.

C. Passage of all products of conception has occurred: This describes a complete abortion.

D. Fetus died in utero but is not expelled: This describes a missed abortion, not a threatened abortion.


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Related Questions

Correct Answer is A

Explanation

A. Place the client in a lateral position: This improves uteroplacental perfusion and venous return, addressing hypotension.

B. Notify the provider: While necessary, it is not the first action.

C. Increase IV fluid rate: Fluid boluses can treat hypotension, but lateral positioning takes precedence.

D. Elevate the legs: This is helpful but secondary to lateral positioning.

Correct Answer is D

Explanation

A. “Hold your breath and push while I count to ten”: This method (closed-glottis pushing) is no longer universally recommended due to risks of maternal and fetal hypoxia.

B. “You should push continuously throughout the entire contraction”: Inefficient and could exhaust the client without optimizing pushing efforts.

C. “Take a deep, cleansing breath before and after each contraction”: Helpful but does not address timing the push with contractions.

D. “I will let you know when you should push according to your contractions”: Encourages effective pushing during the peak of contractions for optimal outcomes.

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