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6 Cards in this Set
- Front
- Back
A woman presents to the emergency department complaining of bleeding and cramping. The initial nursing history is significant for a last menstrual period 6 weeks ago. On sterile speculum examination, the primary health care provider finds that the cervix is closed. The anticipated plan of care for this woman is based on a probable diagnosis of which type of spontaneous abortion?
a) Incomplete b) Inevitable c) Threatened d) Septic |
Threatened
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The most prevalent clinical manifestations of abruptio placentae (as opposed to placenta previa) is:
a) Bleeding b) Intense abdominal pain c) Uterine activity d) Cramping |
Intense abdominal pain
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A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit. She suddenly experiences increased contraction frequency of every 1 to 2 minutes; dark red vaginal bleeding; and a tense, painful abdomen. The nurse suspects the onset of:
a) Eclamptic seizure b) Rupture of the uterus c) Placenta previa d) Placental abruption |
Placental abruption
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In caring for the woman with disseminated intravascular coagulation (DIC), what order should the nurse anticipate?
a) Administration of blood b) Preparation of the woman for invasive hemodynamic monitoring c) Restriction of intravascular fluids d) Administration of steroids |
Administration of blood
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Signs of a threatened abortion (miscarriage) are noted in a woman at 8 weeks of gestation. What is an appropriate management approach for this type of abortion?
a) Prepare the woman for a dilation and curettage (D&C) b) Place the woman on bed rest for at least 1 week and reevaluate c) Prepare the woman for an ultrasound and bloodwork d) Comfort the woman by telling her that if she loses this baby, she may attempt to get pregnant again in 1 month |
Prepare the woman for an ultrasound and bloodwork
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A woman diagnosed with marginal placenta previa gave birth vaginally 15 minutes ago. At the present time she is at greatest risk for:
a) Hemorrhage b) Infection c) Urinary retention d) Thrombophlebitis |
Hemorrhage
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