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 D
Explanation
a. Smoking is not directly associated with neural tube defects.
b. Smoking is not directly associated with type 1 diabetes mellitus.
c. While smoking during pregnancy is harmful, it is not specifically associated with congenital heart defects.
d. Smoking during pregnancy is a known risk factor for intrauterine growth restriction, which can lead to low birth weight and other complications for the newborn
Correct Answer is B
Explanation
a. A woman at 37 weeks' gestation who experienced spontaneous rupture of membranes 30 minutes ago with normal fetal movements is not a priority assessment as long as there are no signs of fetal distress.
b. A woman who is 9 cm dilated and fully effaced and is requesting to go to the bathroom to have a bowel movement is in the second stage of labor, which means that the cervix is fully dilated and the fetus is descending in the birth canal. The urge to have a bowel movement is a sign that the fetal head is pressing on the rectum and that delivery is imminent. This patient needs immediate attention and preparation for delivery.
c. A woman at 27 weeks' gestation who noted scant vaginal bleeding today after having sexual intercourse in the morning may be experiencing placenta previa or placental abruption but this is not a priority compared to the woman in option b who is yet to deliver.
d. A woman who is 2 cm dilated and 80% effaced and is crying and shows mild anxiety is not a priority assessment as long as there are no signs of fetal distress.
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