Exam 28: Hemorrhagic Disorders

The management of the pregnant client who has experienced a pregnancy loss depends on the type of miscarriage and the signs and symptoms.While planning care for a client who desires outpatient management after a first-trimester loss,what would the nurse expect the plan to include?

A perinatal nurse is giving discharge instructions to a woman,status post-suction,and curettage secondary to a hydatidiform mole.The woman asks why she must take oral contraceptives for the next 12 months.What is the best response by the nurse?

In caring for an immediate postpartum client,the nurse notes petechiae and oozing from her intravenous (IV)site.The client would be closely monitored for which clotting disorder?

Which statement regarding the condition referred to as a miscarriage is most accurate?

The nurse is preparing to administer methotrexate to the client.This hazardous drug is most often used for which obstetric complication?

A woman arrives at the emergency department with reports of bleeding and cramping.The initial nursing history is significant for a 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?

Which order should the nurse expect for a client admitted with a threatened abortion?

A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy.Which information assists the nurse in developing the plan of care?

A 26-year-old pregnant woman,gravida 2,para 1-0-0-1,is 28 weeks pregnant when she experiences bright red,painless vaginal bleeding.On her arrival at the hospital,which diagnostic procedure will the client most likely have performed?

What is the correct terminology for an abortion in which the fetus dies but is retained within the uterus?

A pregnant woman is being discharged from the hospital after the placement of a cervical cerclage because of a history of recurrent pregnancy loss,secondary to an incompetent cervix.Which information regarding postprocedural care should the nurse emphasize in the discharge teaching?

Which finding on a prenatal visit at 10 weeks of gestation might suggest a hydatidiform mole?

What condition indicates concealed hemorrhage when the client experiences abruptio placentae?

A woman who is 30 weeks of gestation arrives at the hospital with bleeding.Which differential diagnosis would not be applicable for this client?

A client who has undergone a dilation and curettage (D&C)for early pregnancy loss is likely to be discharged the same day.The nurse must ensure that her vital signs are stable,that bleeding has been controlled,and that the woman has adequately recovered from the administration of anesthesia.To promote an optimal recovery,what information should discharge teaching include? (Select all that apply. )

In caring for the woman with disseminated intravascular coagulation (DIC),which order should the nurse anticipate?

Which laboratory marker is indicative of disseminated intravascular coagulation (DIC)?

Which maternal condition always necessitates delivery by cesarean birth?

In contrast to placenta previa,what is the most prevalent clinical manifestation of abruptio placentae?

A woman arrives for evaluation of signs and symptoms that include a missed period,adnexal fullness,tenderness,and dark red vaginal bleeding.On examination,the nurse notices an ecchymotic blueness around the woman's umbilicus.What does this finding indicate?