A Client Who Was Pregnant Had a Spontaneous Abortion at Approximately

question 28

Multiple Choice

A client who was pregnant had a spontaneous abortion at approximately 4 weeks' gestation. At the time of the miscarriage, it was thought that all products of conception were expelled. Two weeks later, the client presents at the clinic office complaining of "crampy" abdominal pain and a scant amount of serosanguineous vaginal drainage with a slight odor. The pregnancy test is negative. Vital signs reveal a temperature of 100° F, with blood pressure of 100/60 mm Hg, irregular pulse 88 beats/min (bpm) , and respirations, 20 breaths/min. Based on these assessment data, what does the nurse anticipate as a clinical diagnosis?

• A) Ectopic pregnancy
• B) Uterine infection
• C) Gestational trophoblastic disease
• D) Endometriosis

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Definitions:

McMartin Preschool

Refers to a notorious daycare sexual abuse case in the 1980s in California, which led to a lengthy and controversial trial.

Children's Testimony

The evidence provided by children in legal settings, which requires careful consideration due to their developmental stage.

Suggestibility

The quality of being inclined to accept and act on the suggestions of others, often studied in psychological contexts.

Los Angeles

A large city in California, known for its entertainment industry, diverse culture, and sprawling metropolitan area.