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. The function of the ductus arteriosus is to bypass the lungs in fetal circulation, allowing oxygenated blood from the placenta to be shunted directly to systemic circulation.
b. Ductus arteriosus does not bypass the brain; it specifically bypasses the lungs.
c. Ductus venosus shunts blood away from the liver, not the ductus arteriosus.
d. Ductus arteriosus shunts blood away from the lungs, not the heart itself.
Correct Answer is D
Explanation
a. Ovulation typically occurs around 14 days before the start of the next menstrual period. For a 30-day cycle, ovulation would typically occur around day 16 of the cycle.
b. Ovulation typically occurs around 14 days before the start of the next menstrual period. For a 30-day cycle, ovulation would typically occur around day 16 of the cycle.
c. Ovulation typically occurs around 14 days before the start of the next menstrual period. For a 30-day cycle, ovulation would typically occur around day 16 of the cycle.
d. If the woman has a 30-day cycle, she can expect to ovulate on day 16 of her cycle, which is January 18, 2023.
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