Practice Question
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:
Answer Choices:
Correct Answer:
Threatened
Rationale:
🔷 A threatened abortion is characterized by vaginal bleeding (often slight or moderate) and uterine cramping in early pregnancy, with a closed cervical os. These findings suggest that the pregnancy may still be viable, and management typically includes observation and supportive care.
🔷 The fact that the cervix remains closed rules out other types like inevitable or incomplete abortion, which involve cervical dilation.
🔷 The presence of cramping and bleeding aligns with the definition of a threatened abortion rather than a missed abortion, which involves fetal death without cramping or bleeding.
🔷 A threatened abortion requires monitoring for signs of progression, bed rest, possible ultrasound, and quantitative hCG levels.
🔷 Early diagnosis helps prevent unnecessary interventions and provides reassurance or guidance based on fetal viability.
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This question is from Miami Regional University 0B -Maternity Care of Women New Born and children. which contains 82 questions.
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From Exam
Miami Regional University 0B -Maternity Care of Women New Born and children.
82 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🤱🏼Maternity & Newborn Care
- Answer Choices: 5