Difficulty: Medium
Average Score: 77%
Simulated
Passage / Scenario
36-year-old female, vaginal bleeding, cramping, LMP 5 weeks ago, severe pain 8/10, moderate bleeding with clots, no trauma, positive hCG, intrauterine pregnancy via ultrasound, mild abdominal tenderness, closed cervical os.A nurse is caring for a 36-year-old female client in the emergency unit. Upon reviewing the client's medical record, the nurse determines that the client is at risk for developing which of the following complications? The nurse should recognize that the client is most likely experiencing a ___ and is at risk for developing ___ if not treated quickly.
Correct answer
A
Rationale
The closed cervical os, bleeding, and cramping suggest a threatened miscarriage, with risk of hemorrhagic shock if bleeding continues untreated.