Author Question: You are taking care of a client who had a therapeutic abortion following an episode of vaginal ... (Read 54 times)

codyclark · **on:** Jun 28, 2018

You are taking care of a client who had a therapeutic abortion following an episode of vaginal bleeding and ultrasound confirmation of a blighted ovum. Lab work is ordered 2 weeks postprocedure as a follow-up to medical care.

Which result indicates that additional intervention is needed?

a. Hemoglobin, 13.2 mg/dL
b. White blood cell count, 10,000 mm3
c. Beta-hCG detected in serum
d. Fasting blood glucose level, 80 mg/dL

Question 2

A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on which of the following?

a. Hemorrhage is the major concern.
b. She will be unable to conceive in the future.
c. Bed rest and analgesics are the recommended treatment.
d. A D&C will be performed to remove the products of conception.

nixon_s · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
The presence of beta-hCG in serum 2 weeks after the procedure is clinically significant and indicates the possibility that there may have been a molar pregnancy (hydatidiform). Thus, further examination is required. None of the other lab results warrant intervention because they are within normal limits.

Answer to Question 2

ANS: A
Severe bleeding occurs if the fallopian tube ruptures. If the tube must be removed, her fertility will decrease but she will not be infertile. The recommended treatment is to remove the pregnancy before hemorrhaging. A D&C is done on the inside of the uterine cavity. The ectopic is located within the tubes.