Exam 28: Hemorrhagic Disorders

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

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?

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?

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

What is the correct definition of a spontaneous termination of a pregnancy (abortion)?

A perinatal nurse is giving discharge instructions to a woman,status postsuction,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?

The reported incidence of ectopic pregnancy has steadily risen over the past 2 decades.Causes include the increase in sexually transmitted infections (STIs)accompanied by tubal infection and damage.The popularity of contraceptive devices such as the IUD has also increased the risk for ectopic pregnancy.The nurse suspects that a client has early signs of ectopic pregnancy.The nurse should be observing the client for which signs or symptoms? (Select all that apply).

Approximately 10% to 15% of all clinically recognized pregnancies end in miscarriage.What are possible causes of early miscarriage? (Select all that apply).

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

Which maternal condition always necessitates delivery by cesarean birth?

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

A client who has undergone a 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 DIC,which order should the nurse anticipate?

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

With regard to hemorrhagic complications that may occur during pregnancy,what information is most accurate?

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

What is the highest priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy?

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

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?

A woman arrives at the emergency department with complaints 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?