Exam 28: Antepartum Hemorrhagic Disorders

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After a fetal loss including miscarriage,the woman should be offered the option of seeing the products of conception.Is this statement true or false?

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True

A prophylactic cerclage for an incompetent cervix is usually placed at:

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A

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

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B

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 vital signs are stable,that bleeding has been controlled,and that the woman has adequately recovered from the administration of anesthesia.In order to promote an optimal recovery,discharge teaching should include:

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With regard to hemorrhagic complications that may present during pregnancy,nurses should know that:

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A pregnant woman is being discharged from the hospital after placement of a cerclage because of a history of recurrent pregnancy loss secondary to an incompetent cervix.Discharge teaching should emphasize that:

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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,what will be the diagnostic procedure?

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Bleeding disorders in late pregnancy include all of these except:

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Methotrexate is recommended as part of the treatment plan for which obstetric complication?

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

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_________________________ is responsible for 9% of all pregnancy-related deaths and is the leading cause of infertility.

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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.The best response from the nurse is:

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

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The condition in which the placenta is implanted in the lower uterine segment near or over the internal cervical os is _________________________.

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With regard to miscarriage,nurses should be aware that:

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A woman arrives for evaluation of her symptoms,which 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.The nurse recognizes this assessment finding as:

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Approximately 10% to 15% of all clinically recognized pregnancies end in miscarriage.Possible causes of early miscarriage include all except:

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