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Question:
A patient is admitted in the first trimester of pregnancy with steady cramping, bleeding, and dilation of the cervix to 3 centimeters. The patient looks panicked and says, “Am I going to lose my baby?” Which of the following responses by the nurse is BEST?
A
“I’m afraid that, due to dilation of the cervix, it may be too late to save this pregnancy. I am here for you to answer any questions you may have.”
explanation
Once the cervix is dilated, with bleeding and cramping pain, a spontaneous abortion is occurring. This happens at a higher rate in the first trimester than all others, most likely due to there being some inherent problem with the developing fetus that would not cause it to be viable later in pregnancy.
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