Exam 28: Hemorrhagic Disorders

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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?

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When is a prophylactic cerclage for an incompetent cervix usually placed (in weeks of gestation)?

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The nurse who elects to practice in the area of women's health must have a thorough understanding of miscarriage.Which statement regarding this condition is most accurate?

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Which laboratory marker is indicative of DIC?

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

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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?

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A laboring woman with no known risk factors suddenly experiences spontaneous ROM.The fluid consists of bright red blood.Her contractions are consistent with her current stage of labor.No change in uterine resting tone has occurred.The fetal heart rate (FHR)begins to decline rapidly after the ROM.The nurse should suspect the possibility of what condition?

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