Author Question: A woman is admitted with vaginal bleeding at approximately 10 weeks of gestation. Her fundal height ... (Read 109 times)

Alygatorr01285 · **on:** Jun 27, 2018

A woman 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. Disseminated intravascular coagulation (DIC)
c. Hydatidiform mole
d. Abruptio placentae

Question 2

A male client asks, Why do I have to use another contraceptive? I had a vasectomy last week. The best response is:

a. Complete sterilization doesn't occur until all sperm have left the system.
b. A vasectomy is not effective in all men.
c. Semen may contain sperm for 6 months following a vasectomy.
d. A vasectomy is only 85 effective.

peter · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Placenta previa usually occurs in the third trimester. Painless uterine bleeding is the classic symptom. DIC is a life-threatening complication of abruptio placentae in which procoagulation and anticoagulation factors are simultaneously activated. Gestational trophoblastic disease 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. Abruptio placentae usually occurs in the third trimester. Painful uterine bleeding is the classic symptom.

Answer to Question 2

A
It may take a month or more for all sperm to be removed from the system. During that time, an additional method of contraception must be used.
Vasectomies have a high success rate but it may take a month for all the sperm to be removed from the system.
After one month usually all the sperm have been removed from the system.
A vasectomy is more than 85 effective.