A client comes to the emergency room reporting severe abdominal cramping and heavy bleeding at 10 weeks gestation. Cervical examination reveals heavy bleeding, the cervical os is open and tissue is present. Which type of abortion is the client experiencing?

Missed miscarriage

Incomplete miscarriage

Inevitable miscarriage

Complete miscarriage

Answer and Explanation

The Correct Answer is B

Choice A reason: Missed miscarriage is not the type of abortion that the client is experiencing, because it is characterized by the absence of fetal heart activity and the retention of the products of conception in the uterus. The client would not have heavy bleeding or tissue expulsion.

Choice B reason: Incomplete miscarriage is the type of abortion that the client is experiencing, because it is characterized by the partial expulsion of the products of conception from the uterus, with some tissue remaining inside. The client would have heavy bleeding, open cervical os, and tissue present.

Choice C reason: Inevitable miscarriage is not the type of abortion that the client is experiencing, because it is characterized by the rupture of membranes and dilation of the cervical os, but no expulsion of the products of conception. The client would have moderate bleeding and cramping, but no tissue present.

Choice D reason: Complete miscarriage is not the type of abortion that the client is experiencing, because it is characterized by the complete expulsion of the products of conception from the uterus. The client would have mild bleeding and cramping, and a closed cervical os.

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Correct Answer is C

Explanation

Choice A reason: Prostaglandin E2 is not an appropriate medication for the client, because it is a uterotonic agent that stimulates uterine contractions and cervical ripening. Prostaglandin E2 is used to induce labor, not to stop it.

Choice B reason: Methylergonovine is not an appropriate medication for the client, because it is a uterotonic agent that causes sustained uterine contractions and vasoconstriction. Methylergonovine is used to prevent or treat postpartum hemorrhage, not to stop preterm labor.

Choice C reason: Terbutaline is an appropriate medication for the client, because it is a tocolytic agent that relaxes the uterine smooth muscle and inhibits contractions. Terbutaline is used to delay preterm labor and prolong pregnancy.

Choice D reason: Oxytocin is not an appropriate medication for the client, because it is a uterotonic agent that stimulates uterine contractions and milk ejection. Oxytocin is used to augment labor, not to stop it.

A. Location of the placenta B. The biparietal diameter C. Fetal lung maturity D. Viability of the fetus

Correct Answer is A

Explanation

Choice A reason: This statement is correct, as the ultrasound can help diagnose placenta previa, which is a condition where the placenta covers the cervical opening and can cause painless, bright red bleeding in the third trimester. Placenta previa is a serious complication that can affect the delivery and the fetal oxygenation.

Choice B reason: This statement is incorrect, as the biparietal diameter is a measurement of the fetal head that is used to estimate the gestational age and the fetal growth. The biparietal diameter is not related to the cause or the severity of the bleeding.

Choice C reason: This statement is incorrect, as the fetal lung maturity is an assessment of the surfactant level in the amniotic fluid that is used to predict the risk of respiratory distress syndrome in preterm infants. The fetal lung maturity is not related to the cause or the severity of the bleeding.

Choice D reason: This statement is incorrect, as the viability of the fetus is an evaluation of the fetal heart rate, movement, and tone that is used to determine the fetal well-being and distress. The viability of the fetus is not related to the cause or the severity of the bleeding, although it can be affected by it.

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A client comes to the emergency room reporting severe abdominal cramping and heavy bleeding at 10 weeks gestation. Cervical examination reveals heavy bleeding, the cervical os is open and tissue is present. Which type of abortion is the client experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Correct Answer is A

Explanation

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