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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. This is a sign of severe preeclampsia.
b. This is a sign of severe preeclampsia.
c. This is a sign of severe preeclampsia.
d. Deep tendon reflexes are not affected by preeclampsia, which is a hypertensive disorder of pregnancy characterized by high blood pressure, proteinuria, and edema.
Correct Answer is C
Explanation
a. Multipara refers to a woman who has given birth to two or more children.
b. Primipara refers to a woman who has given birth to one child.
c. Nullipara refers to a woman who has never given birth.
d. Nulligravida refers to a woman who has never been pregnant.
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