Ati Lpn maternal exam 1
Ati Lpn maternal exam 1 ( 49 Questions)
A nurse is assisting with the admission of a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding.
Incomplete abortion is the initial diagnosis.
Which of the following actions should the nurse contribute to the client’s plan of care?
Administering oxygen via facemask is not a routine intervention for incomplete abortion unless there are signs of respiratory distress or hypoxemia.
In the absence of these indications, oxygen administration is not necessary and could potentially mask underlying symptoms.
It's crucial to prioritize interventions that directly address the incomplete abortion and assess for potential complications.
Bed rest was traditionally recommended for incomplete abortion, but current evidence does not support its routine use. It has not been shown to improve outcomes or prevent complications.
In fact, prolonged bed rest can have negative consequences, such as increased risk of venous thromboembolism and muscle deconditioning.
Unless there are specific clinical reasons for bed rest, it's generally not recommended.
While discussing birth control options is important for future pregnancy planning, it's not the immediate priority in the acute management of incomplete abortion.
The focus should be on addressing the current pregnancy loss and ensuring the client's physical and emotional wellbeing. Birth control counseling can be provided at a more appropriate time when the client is ready to discuss it.
Determining the amount and type of vaginal bleeding is essential for several reasons:
Assessment of blood loss: Evaluating the extent of bleeding helps to guide treatment decisions and identify potential hemorrhagic complications.
Monitoring for tissue passage: Incomplete abortion involves the retention of some pregnancy tissues. Assessing for the presence of tissue in the bleeding can help determine if further interventions are needed.
Identification of infection: The characteristics of the bleeding can provide clues about potential infections, such as foul- smelling discharge or fever.
This information is crucial for determining the appropriate course of treatment and ensuring the client's safety.