Complications of Pregnancy Practice Questions

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An abortion is classified as which of the following:

• loss of pregnancy before fetus is viable at more than

20 weeks or less than 450 grams

• loss of pregnancy before fetus is viable at less than 20

weeks or more than 450 grams

• loss of pregnancy before fetus is viable at less than 20

weeks and less than 450 grams

• loss of pregnancy before fetus is viable at equal to 20

weeks and less than 450 grams

• loss of pregnancy before fetus is viable at less than 20 weeks and less than 450

grams A nursing professor explains to her class that there are two types of abortions. Which of the following statements made by the nursing professor regarding the 2 types of abortions would be true?

• "The two types of abortions are known as spontaneous

and recurrent."

• "The two major types of abortions are known as

spontaneous and induced."

• "The two major types of abortions are known as

induced and missed."

• "The two major types of abortions are known as

complete and incomplete."

• "The two major types of abortions are known as spontaneous and induced."

Which of the following are all factors that may contribute to spontaneous abortion? (Select all that apply)

• polycystic ovary syndrome
• cancer
• maternal metabolic abnormalities
• uterine anatomic abnormalities
• bipolar disorder
• thyroid abnormalities

a., c., d, f.When explaining to a patient about the factors that can lead to spontaneous abortion, a nurse makes sure to discuss which of the following factors? (select all that apply)

• severe maternal illness, such as poorly controlled

diabetes, heart disease,and inflammatory bowel disease

• severe depression
• incompetent cervix
• African American race
• maternal infections
• environmental chemicals
• presence of IUD
• taking excessive amounts of Vitamin A and C
• trauma
• severe maternal illness, such as poorly controlled diabetes, heart disease,and

inflammatory bowel disease

• incompetent cervix
• maternal infections
• environmental chemicals
• presence of IUD
• trauma

A patient comes in worried to a pregnancy clinic and informs the nurse that she has been experiencing vaginal bleeding and spotting, on and off cramps. The doctor has assessed the patient and confirms that the cervix is closed. The nurse would inform the patient that she is

experiencing what type of spontaneous abortion:

• inevitable abortion
• incomplete abortion
• complete abortion
• threatened abortion
• threatened abortion

The nurse assesses a young patient in the ER who has exhibited moderate vaginal bleeding, complains of uterine cramping. In addition, the patient's cervix is dilated 3 cm. Based on these findings, the nurse would document that the patient is having which type of spontaneous abortion?

• inevitable abortion
• incomplete abortion
• complete abortion
• threatened abortion
• inevitable abortion

A older female has been rushed to the ER because she was been experiencing heavy bleeding, severe uterine cramping and her cervix is dilated 6 cm. After assessing the patient and completing an ultrasound, the nurse discovers that the patient has parts of conception that have been passed remaining in her uterus. The nurse identifies that the patient has which type of spontaneous abortion?

• inevitable abortion
• incomplete abortion
• complete abortion
• threatened abortion
• incomplete abortion

When analyzing the ultrasound of a patient, the nurse realizes that all the products of conception have been expelled, there is slight bleeding. The patient informs the nurse she is experiencing mild uterine contractions.Based on this information, the nurse would determine

that this patient has a:

• missed abortion
• recurrent abortion
• complete abortion
• complete abortion

The nurse is explaining to a patient that they have just experienced a missed abortion. Which of the following statements by the nurse about missed abortion is correct?

• " A missed abortion occurs when parts of products of

conception have been passed and part of those products remain in your uterus."

• "A missed abortion occurs when the fetus dies in your

uterus but is retained. You will have regression of the growth of your uterus. You may also experience breast changes from this."

• "A missed abortion occurs when all the products of

your conception are expelled and you have mild uterine cramping as a result."

• "A missed abortion occurs when the fetus dies in your uterus but is retained. You

will have regression of the growth of your uterus. You may also experience breast changes from this." The nurse informs a patient that recurrent abortion is

classified when a woman experiences:

• 2 or more spontaneous abortions in successive

pregnancies

• 3 or more spontaneous abortions in successive

pregnancies

• 5 or more spontaneous abortions in successive

pregnancies

• 3 or more spontaneous abortions in successive pregnancies

A 40 year old patient enters the ER complaining of uterine cramps, a severe backache, and pressure in her abdominal area. The patient also tells the nurse that she has had a little vaginal bleeding, also known as spotting.The nurse would record this information in the patient's

chart as a:

• signs of a spontaneous abortion
• signs of a complete abortion
• signs of an incomplete abortion
• signs of a spontaneous abortion

A nurse is caring for a patient that is being monitored for a spontaneous abortion. The nurse's priority action

involves:

• Encouraging the patient to walk around and keep her

body stimulated

• Encouraging the patient to remain relaxed and on bed

rest

• Encouraging the patient to take pain medication as

needed and to maintain an adequate fluid intake

• Encouraging the patient to remain relaxed and on bed rest

A nurse is explaining to a patient is being treated for an incomplete abortion what a dilation and curretage procedure entails. The nurse's most accurate explanation

of this procedure is:

• "This procedure is used to remove tissue from inside

your uterus. It helps to clear up your uterine lining and treat any heavy bleeding you may still have as a result of this trauma."

• "This procedure is used to remove tissue from inside

your vagina. It helps to clear up your vaginal walls and treat any bleeding that you may still have as result from this trauma."

• "This procedure is used to remove tissue from inside your uterus. It helps to

clear up your uterine lining and treat any heavy bleeding you may still have as a result of this trauma." A patient that is 40 years old comes into the ER complaining of one-sided lower abdomen pain, diffuse abdominal pain, and referred right shoulder pain. She is holding her abdomen and wincing. The nurse recognizes

that these are all classical signs of:

• placenta previa
• ectopic pregnancy
• spontaneous abortion
• gestational trophoblastic disease
• ectopic pregnancy