A nurse in a clinic is caring for a client who is at 11 weeks of gestation and reports that she has had slight occasional and painless vaginal bleeding over the past 2 weeks. Following an examination by the provider, the client is told that the fetus has died and that the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings?
Incomplete miscarriage
Complete abortion
Missed abortion
Inevitable abortion
The Correct Answer is C
a. This occurs when some of the products of conception have been expelled from the uterus but some remain.
b. This occurs when all of the products of conception have been expelled from the uterus.
c. This occurs when the fetus has died but has not been expelled from the uterus.
d. This occurs when the fetus has died and the cervix is dilated, but the products of conception have not been expelled from the uterus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. As the placenta grows and becomes more metabolically active, it produces hormones that increase insulin resistance, leading to an increased need for insulin.
b. Women with insulin-dependent diabetes may be prone to hyperglycemia during pregnancy, but it is not due to consuming more simple sugar.
c. Maternal insulin requirements often increase during pregnancy due to increased insulin resistance.
d. Insulin crosses the placenta throughout pregnancy, and the fetus does not secrete its own insulin until after birth.
Correct Answer is C
Explanation
a. The client should also be placed in Trendelenburg or knee-chest position to reduce cord compression.
b. This is not the first action to take when the umbilical cord is prolapsed.
c. This is a medical emergency that requires immediate intervention to prevent fetal hypoxia and death. The nurse should insert a gloved hand into the vagina and apply upward pressure on the presenting part to lift it off the cord until delivery.
d. This may be necessary if the cord compression cannot be relieved, but the first priority is to relieve the cord compression.
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