An abortion when the fetus dies but is retained in the uterus is ...

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An abortion when the fetus dies but is retained in the uterus is called:
 
  a. inevitable.
  b. missed.
  c. incomplete.
  d. threatened.

Question 2

A client is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her fundal height is 13 cm. Which potential problem should be investigated?
 
  a. Placenta previa
  b. Hydatidiform mole
  c. Abruptio placentae
  d. Disseminated intravascular coagulation (DIC)

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Answer to Question 1

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

Answer to Question 2

ANS: B
Gestational trophoblastic disease (hydatidiform mole) is usually detected in the first trimester of pregnancy. The frequency of this condition is highest at both ends of a woman's reproductive life. Placenta previa usually occurs in the third trimester. Painless uterine bleeding is the classic symptom. Abruptio placentae usually occurs in the third trimester. Painful uterine bleeding is the classic symptom. DIC is a life-threatening complication of abruptio placentae, in which procoagulation and anticoagulation factors are simultaneously activated.

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