A woman arrives at the emergency department with reports of bleeding and cramping.The initial nursing history is significant for a last menstrual period 6 weeks ago.On sterile speculum examination,the primary care provider finds that the cervix is closed.The anticipated plan of care for this woman would be based on a probable diagnosis of which type of spontaneous abortion?

Question

Quizplus · Accepted Answer

Based on the reported symptoms and closed cervix, a probable diagnosis of threatened spontaneous abortion can be made. In this case, the priority would be to observe the woman for any further bleeding or cramping and to provide emotional support. Treatment options would depend on the severity of symptoms and may include bed rest, medication, or possibly surgery if the threatened abortion progresses to an incomplete or inevitable abortion. Septic abortion is a rare but serious complication of incomplete or inevitable abortions, which is not indicated in this case based on the closed cervix.

A Woman Arrives at the Emergency Department with Reports of Bleeding