33. A client, who is a primigravida about 8 weeks pregnant, has been experiencing abdominal cramping, bright red vaginal spotting, and passing some small clots. A sterile speculum examination in a physician's office reveals cervical dilation. A nurse determines that this client is most likely experiencing:
Test-Taking Tip
Types of abortions sound like the symptoms. Inevitable abortion cannot be stopped; threatened abortion has some signs, and complete abortion is when all the products of conception are passed.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
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Answer 1 is correct because the symptoms of an inevitable abortion are abdominal cramping, bright red vaginal spotting, passing clots, and cervical dilation. Answer 2 is incorrect because the symptoms of a complete abortion are cramping, bleeding and the passage of the products of conception. Answer 3 is incorrect because a missed abortion happens when the fetus has died and is not passed. There is no cramping, bleeding, or passage of clots. Answer 4 is incorrect because the symptoms of a threatened abortion are cramping and bleeding, but not cervical dilation.
