The client has been diagnosed with threatened abortion. The description of threatened abortion includes which of the following?
Cramping and backache with light spotting
Cervix is dilated
Passage of all products of conception has occurred
Fetus died in utero but is not expelled
The Correct Answer is A
A. Cramping and backache with light spotting: These are classic signs of a threatened abortion, where the pregnancy is at risk but not yet lost.
B. Cervix is dilated: A dilated cervix indicates an inevitable or incomplete abortion, not a threatened one.
C. Passage of all products of conception has occurred: This describes a complete abortion.
D. Fetus died in utero but is not expelled: This describes a missed abortion, not a threatened abortion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "A repeat cesarean section would be safer for both you and your baby.": VBAC is often safe, depending on the uterine incision type. A blanket statement about safety is inaccurate.
B. "The primary consideration is what type of incision you had.": The type of uterine incision (e.g., low transverse) determines VBAC eligibility due to the risk of uterine rupture.
C. "There are so many variables that you'll have to ask your provider.": While consultation with a provider is important, this response lacks educational value.
D. "It's too soon for you to be worrying about that now.": This response dismisses the client’s concerns and is non-therapeutic.
Correct Answer is D
Explanation
A. Help the client to the bathroom to empty the bladder: It is unsafe to ambulate a client in active labor who feels the urge to push; crowning must first be ruled out.
B. Assist the client to a comfortable position: Comfort is important, but immediate assessment for crowning takes priority to prepare for delivery.
C. Assess the perineum for signs of crowning: While this is an important assessment, the immediate action to take when the client feels the urge to push is to instruct her to pant to prevent premature pushing.
D. Have the client pant during the next few contractions: Panting helps the patient avoid pushing before full dilation is achieved, reducing the risk of complications such as cervical lacerations or fetal distress. This technique helps manage the urge to push until the cervix is fully dilated.
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