Maternity Nursing Q 161

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In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test?

  

     A. Threatened

     B. Imminent

     C. Missed

     D. Incomplete

    

    

Correct Answer: C. Missed

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In a missed abortion, there is early fetal intrauterine death, and products of conception are not expelled. The cervix remains closed; there may be a dark brown vaginal discharge, negative pregnancy test, and cessation of uterine growth and breast tenderness.

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Option A: A threatened abortion is evidenced with cramping and vaginal bleeding in early pregnancy, with no cervical dilation.

Option B: An imminent-abortion indicated by bleeding and pain along with an effaced cervix.

Option D: An incomplete abortion involves only expulsion of part of the products of conception and bleeding occurs with cervical dilation.

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