Author Question: The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding ... (Read 97 times)

daltonest1984 · **on:** Jun 28, 2018

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy is to:

a. Assess fetal heart rate (FHR) and maternal vital signs
b. Perform a venipuncture for hemoglobin and hematocrit levels
c. Place clean disposable pads to collect any drainage
d. Monitor uterine contractions

Question 2

An abortion in which the fetus dies but is retained within the uterus is called a(n):

a. Inevitable abortion c. Incomplete abortion
b. Missed abortion d. Threatened abortion

tanna.moeller · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Assessment of the FHR and maternal vital signs will assist the nurse in determining the degree of the blood loss and its effect on the mother and fetus. The most important assessment is to check mother/fetal well-being. The blood levels can be obtained later.
It is important to assess future bleeding; however, the top priority remains mother/fetal well-being. Monitoring uterine contractions is important but not the top priority.

Answer to Question 2

ANS: B
Missed abortion refers to retention of a dead fetus in the uterus. An inevitable abortion means that the cervix is dilating with the contractions. An incomplete abortion means that not all of the products of conception were expelled. With a threatened abortion the woman has cramping and bleeding but not cervical dilation.