Which data found on a client's health history would place her at ...

[nramada]

Which data found on a client's health history would place her at risk for an ectopic pregnancy?
 
  a. Ovarian cyst 2 years ago
  b. Recurrent pelvic infections
  c. Use of oral contraceptives for 5 years
  d. Heavy menstrual flow of 4 days' duration

Question 2

A laboratory finding indicative of DIC is:
 
  a. decreased fibrinogen.
  b. increased platelets.
  c. increased hematocrit.
  d. decreased thromboplastin time.

[s.meritte]

Answer to Question 1

ANS: B
Infection and subsequent scarring of the fallopian tubes prevent normal movement of the fertilized ovum into the uterus for implantation. Ovarian cysts do not cause scarring of the fallopian tubes. Oral contraceptives do not increase the risk for ectopic pregnancies. Heavy menstrual flow of 4 days' duration will not cause scarring of the fallopian tubes, which is the main risk factor for ectopic pregnancies.

Answer to Question 2

ANS: A
DIC develops when the blood-clotting factor thromboplastin is released into the maternal bloodstream as a result of placental bleeding. Thromboplastin activates widespread clotting, which uses the available fibrinogen, resulting in a decreased fibrinogen level. The platelet count will decrease. The hematocrit may decrease if bleeding is pronounced. The thromboplastin time is prolonged.