Spontaneous abortion, hyperemesis, Molar Pregnancy, Ectopic Pregnancy, Abruption, Previa

Which diagnosis would the nurse expect in a client at 10 weeks' gestation with vaginal bleeding, abdominal cramping, and a cervical dilation of 2 cm?

Inevitable abortion

A client at her first visit to the prenatal clinic states that she has missed three menstrual periods and thinks that she is carrying twins because her abdomen is so large. She now has a brownish vaginal discharge. Her blood pressure is increased, indicating that she may have gestational hypertension. Which condition is suggested by this client profile?

Hydatidiform mole

A client has undergone suction curettage for the removal of a hydatidiform mole. What would the nurse emphasize when planning for the client's discharge?

The reasons for postponing another pregnancy for an entire year

Cramping and vaginal spotting at 12 weeks' gestation with an audible fetal heart rate and a closed cervix is characteristic of which problem?

Threatened abortion

The doctor has written an order for a contraction stress test (CST). The presence of which condition would prompt the nurse to question the order?

Vaginal bleeding

Which assessment findings correlate with a diagnosis of unruptured tubal pregnancy?

-Unilateral abdominal pain -History of untreated chlamydia

A client at 36 weeks' gestation presents with severe abdominal pain, heavy vaginal bleeding, a drop in blood pressure, and an increased pulse rate. Which complication of pregnancy is suggested by these signs and symptoms?

Abruptio placentae

Which is suspected when a client at 37 weeks' gestation experiences a sudden sharp pain in her abdomen with a period of fetal hyperactivity followed by fundal tenderness and a small amount of dark-red bleeding?

Partial abruptio placentae

A client with frank vaginal bleeding is admitted to the birthing unit at 30 weeks' gestation. The admission data include blood pressure of 110/70 mm Hg, pulse of 90 beats/min, respiratory rate of 22 breaths/min, and fetal heart rate of 132 beats/min. The uterus is nontender, the client is reporting no contractions, and the membranes are intact. In light of this information, which problem would the nurse expect?

Placenta previa

A client elects to have her pregnancy terminated at 16 weeks' gestation after learning that she is carrying a fetus with Down syndrome. Which factor would the nurse consider in the plan of care at this time?

The client should be given time to discuss her feelings about the decision