Podcast
Questions and Answers
Which of the following is the priority assessment for a pregnant client presenting with vaginal bleeding?
Which of the following is the priority assessment for a pregnant client presenting with vaginal bleeding?
- Determining the client's emotional response to the bleeding.
- Performing a sterile speculum examination to visualize the cervix.
- Inquiring about the client's past obstetric history.
- Assessing for signs and symptoms of hypovolemic shock. (correct)
A client at 8 weeks gestation is experiencing a threatened spontaneous miscarriage. Which instruction is most important for the nurse to provide?
A client at 8 weeks gestation is experiencing a threatened spontaneous miscarriage. Which instruction is most important for the nurse to provide?
- Continue normal activities, but increase fluid intake.
- Engage in moderate exercise to improve circulation.
- Avoid strenuous activity for the next 24-48 hours. (correct)
- Maintain strict bed rest for the remainder of the pregnancy.
Following a dilation and curettage (D & C) for a missed miscarriage, what information should the nurse emphasize in discharge teaching?
Following a dilation and curettage (D & C) for a missed miscarriage, what information should the nurse emphasize in discharge teaching?
- Begin taking iron supplements to prevent anemia.
- Expect heavy bleeding for up to 2 weeks.
- Avoid sexual intercourse for 1 week.
- Report immediately if saturating more than one pad per hour. (correct)
A client with a history of three consecutive spontaneous miscarriages is undergoing evaluation. Which potential cause should the nurse anticipate being investigated?
A client with a history of three consecutive spontaneous miscarriages is undergoing evaluation. Which potential cause should the nurse anticipate being investigated?
A client at 7 weeks gestation presents to the emergency department with unilateral lower abdominal pain and vaginal spotting. Which condition should the nurse suspect?
A client at 7 weeks gestation presents to the emergency department with unilateral lower abdominal pain and vaginal spotting. Which condition should the nurse suspect?
A client is diagnosed with an unruptured ectopic pregnancy. Which medication should the nurse anticipate being prescribed?
A client is diagnosed with an unruptured ectopic pregnancy. Which medication should the nurse anticipate being prescribed?
Which assessment finding is most indicative of a hypovolemic shock related to bleeding in early pregnancy?
Which assessment finding is most indicative of a hypovolemic shock related to bleeding in early pregnancy?
A client who is Rh-negative experiences a spontaneous miscarriage. What intervention is essential?
A client who is Rh-negative experiences a spontaneous miscarriage. What intervention is essential?
The nurse is caring for a client who had a septic abortion. Besides antibiotics, what other intervention should the nurse anticipate?
The nurse is caring for a client who had a septic abortion. Besides antibiotics, what other intervention should the nurse anticipate?
A client admitted with a threatened abortion reports increased bleeding and cramping. What type of spontaneous abortion is the client most likely experiencing?
A client admitted with a threatened abortion reports increased bleeding and cramping. What type of spontaneous abortion is the client most likely experiencing?
What is the most appropriate nursing intervention to prevent infection in a client following a miscarriage?
What is the most appropriate nursing intervention to prevent infection in a client following a miscarriage?
A client presents with a possible ectopic pregnancy. Which diagnostic test is most useful in confirming this condition?
A client presents with a possible ectopic pregnancy. Which diagnostic test is most useful in confirming this condition?
What should the nurse include in the plan of care for a client experiencing a spontaneous miscarriage to address potential emotional distress?
What should the nurse include in the plan of care for a client experiencing a spontaneous miscarriage to address potential emotional distress?
A client is being discharged after treatment for a complete spontaneous abortion. Which statement indicates a need for further teaching?
A client is being discharged after treatment for a complete spontaneous abortion. Which statement indicates a need for further teaching?
Which of the following factors is most likely to contribute to an ectopic pregnancy?
Which of the following factors is most likely to contribute to an ectopic pregnancy?
A nurse is assessing a client who reports vaginal bleeding and lower abdominal pain. Which question is most important to ask to differentiate between different types of spontaneous abortion?
A nurse is assessing a client who reports vaginal bleeding and lower abdominal pain. Which question is most important to ask to differentiate between different types of spontaneous abortion?
A client is diagnosed with a missed miscarriage. What does this condition indicate?
A client is diagnosed with a missed miscarriage. What does this condition indicate?
What is the primary goal of applying pneumatic antishock garments in a client experiencing hemorrhage due to a miscarriage?
What is the primary goal of applying pneumatic antishock garments in a client experiencing hemorrhage due to a miscarriage?
Which nursing intervention is most appropriate when caring for a client experiencing hypovolemic shock due to hemorrhage from a miscarriage?
Which nursing intervention is most appropriate when caring for a client experiencing hypovolemic shock due to hemorrhage from a miscarriage?
What should a nurse include when teaching a client about the signs and symptoms of infection after a spontaneous abortion?
What should a nurse include when teaching a client about the signs and symptoms of infection after a spontaneous abortion?
A client is scheduled for a hysterosalpingogram after chemotherapy treatment for an ectopic pregnancy. What is the purpose of this procedure?
A client is scheduled for a hysterosalpingogram after chemotherapy treatment for an ectopic pregnancy. What is the purpose of this procedure?
Which of the following is a legal consideration regarding elective abortions?
Which of the following is a legal consideration regarding elective abortions?
A woman at 10 weeks gestation is experiencing heavy bleeding. What is the appropriate initial nursing action?
A woman at 10 weeks gestation is experiencing heavy bleeding. What is the appropriate initial nursing action?
A client is diagnosed with an incomplete miscarriage. What finding would the nurse expect during assessment?
A client is diagnosed with an incomplete miscarriage. What finding would the nurse expect during assessment?
A nursing instructor is teaching about the complications from a miscarriage. Which one of the following complications, if mentioned by the students, indicates effective teaching?
A nursing instructor is teaching about the complications from a miscarriage. Which one of the following complications, if mentioned by the students, indicates effective teaching?
A woman at 8 weeks of gestation is experiencing a threatened abortion. Which nursing intervention(s) is most appropriate?
A woman at 8 weeks of gestation is experiencing a threatened abortion. Which nursing intervention(s) is most appropriate?
A woman at 7 weeks gestation is diagnosed with an ectopic pregnancy. She asks the nurse, “What does this mean?” Which response is most accurate?
A woman at 7 weeks gestation is diagnosed with an ectopic pregnancy. She asks the nurse, “What does this mean?” Which response is most accurate?
Which of the following complications may result from a delay in the diagnosis and treatment of an ectopic pregnancy?
Which of the following complications may result from a delay in the diagnosis and treatment of an ectopic pregnancy?
A client is being treated for an ectopic pregnancy with methotrexate. Which instruction should the nurse provide to the client?
A client is being treated for an ectopic pregnancy with methotrexate. Which instruction should the nurse provide to the client?
What is the primary reason for monitoring a client closely for disseminated intravascular coagulation (DIC) following a missed abortion?
What is the primary reason for monitoring a client closely for disseminated intravascular coagulation (DIC) following a missed abortion?
Which action should the nurse prioritize when a client presents during the first trimester with bright red vaginal bleeding and cramping?
Which action should the nurse prioritize when a client presents during the first trimester with bright red vaginal bleeding and cramping?
What intervention is most important for the nurse to include in the care plan for a client at risk for hypovolemic shock related to vaginal bleeding?
What intervention is most important for the nurse to include in the care plan for a client at risk for hypovolemic shock related to vaginal bleeding?
A client with a history of ectopic pregnancy is asking the nurse about her chances of having a successful pregnancy in the future. What information is appropriate for the nurse to share?
A client with a history of ectopic pregnancy is asking the nurse about her chances of having a successful pregnancy in the future. What information is appropriate for the nurse to share?
A woman at 6 weeks' gestation is diagnosed with a threatened miscarriage. Which activity would be MOST appropriate for the nurse to suggest?
A woman at 6 weeks' gestation is diagnosed with a threatened miscarriage. Which activity would be MOST appropriate for the nurse to suggest?
Which sign or symptom is generally NOTassociated with a threatened miscarriage?
Which sign or symptom is generally NOTassociated with a threatened miscarriage?
Which action should the nurse implement when caring for a pregnant client experiencing hypovolemic shock?
Which action should the nurse implement when caring for a pregnant client experiencing hypovolemic shock?
A woman who has experienced three or more consecutive spontaneous abortions is known as what?
A woman who has experienced three or more consecutive spontaneous abortions is known as what?
What should happen to HCG levels in the blood for a viable pregnancy?
What should happen to HCG levels in the blood for a viable pregnancy?
Flashcards
Bleeding Disorders
Bleeding Disorders
Vaginal bleeding during pregnancy that deviates from the normal and is always frightening.
Abortion
Abortion
Termination of pregnancy before the age of viability.
Viable Fetus
Viable Fetus
Fetus before 20-24 weeks of gestation and weighs at least 500 grams.
Spontaneous Miscarriage
Spontaneous Miscarriage
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Early Miscarriage
Early Miscarriage
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Late Miscarriage
Late Miscarriage
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Imminent Miscarriage
Imminent Miscarriage
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Missed Miscarriage
Missed Miscarriage
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Complete Miscarriage
Complete Miscarriage
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Incomplete Miscarriage
Incomplete Miscarriage
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D & C (Dilation and Curettage)
D & C (Dilation and Curettage)
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D&E (Dilatation and Evacuation)
D&E (Dilatation and Evacuation)
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Recurrent Pregnancy Loss
Recurrent Pregnancy Loss
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Isoimmunization
Isoimmunization
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Ectopic Pregnancy
Ectopic Pregnancy
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Cullen Sign
Cullen Sign
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