A woman presents to the emergency department with complaints of bleeding and cramping. The initial nursing history is significant for the last menstrual period 6 weeks ago. On sterile speculum examination, the primary care provider finds that the cervix is closed. The anticipated plan of care for this woman would be based on a probable diagnosis of which type of spontaneous abortion? Select one:
Inevitable
Septic
c Incomplete
Missed
Threatened
The Correct Answer is E
a. Inevitable abortion is characterized by vaginal bleeding, cramping, and dilated cervical os.
b. Septic abortion is associated with infection and may present with fever, chills, and foul-smelling vaginal discharge.
c. Incomplete abortion involves vaginal bleeding, cramping, and dilation of the cervical os with passage of some products of conception.
d. A missed abortion is when there is no bleeding or cramping, but the pregnancy has stopped developing and there is no fetal heartbeat. The cervix may be closed or slightly open, and the uterus may be smaller than expected for gestational age.
e. Threatened abortion involves vaginal bleeding with a closed cervical os and no passage of products of conception. It signifies a potential abortion, but the pregnancy may continue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Menopause is the natural cessation of menstruation due to declining ovarian function and hormone production.
b. Puberty is the stage of development when a child's body matures into an adult body capable of sexual reproduction.
c. Menarche is the first occurrence of menstruation.
d. Climacteric refers to the period of transition from reproductive to non- reproductive stages of life, including perimenopause and menopause
Correct Answer is C
Explanation
a. Diazepam is not indicated for the treatment of severe preeclampsia.
b. Hydralazine orally twice a day is not indicated for the treatment of severe preeclampsia.
c. Calcium Gluconate is indicated for the treatment of hypermagnesemia, which can occur as a result of magnesium sulfate infusion.
d. This will worsen the magnesium toxicity.
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