The client has been diagnosed with threatened abortion. The description of threatened abortion includes which of the following?
Cramping and backache with light spotting
Cervix is dilated
Passage of all products of conception has occurred
Fetus died in utero but is not expelled
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Place a soft pillow under the client’s buttocks: Provides comfort but does not directly address pain or inflammation.
B. Apply an ice pack to the perineum: Reduces swelling and provides pain relief in the early postpartum period.
C. Prepare a warm sitz bath: Useful after the first 24 hours to promote healing and comfort, not immediately.
D. Position a heating lamp towards the episiotomy: Could increase discomfort and swelling in the acute phase.
Correct Answer is D
Explanation
A. Frequency and duration of contractions: Heavy bleeding without contractions is not typically caused by labor. This option is irrelevant to the client’s current condition.
B. Fetal lung maturity: While fetal lung maturity is essential, it is unrelated to the client's heavy vaginal bleeding.
C. Rh incompatibility: This condition does not present with sudden, heavy vaginal bleeding in the third trimester.
D. Location of the placenta: Heavy, painless vaginal bleeding in late pregnancy can indicate placenta previa. Ultrasound is essential to assess placental location to rule out this potentially life-threatening condition.
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