Page 103 - Critical Maternity & Newborn Health Nursing

4. A week later Mrs. L came back to the emergency room with sever

vaginal bleeding and abdominal cramp. Vaginal exam shows

passage of fetal parts. Ultrasound examinations shows that there

are some fetal parts inside the uterus. Which type of abortion does

Mrs. L have now?

A. Threatened

B. Inevitable

C. Incomplete

D. Missed

5. What is the best management for Mrs. L.?

A. Maintain pregnancy as possible

B. vaginal evacuation and curettage or suction evacuation

C. Oxytocin is given to expel the uterine contents

D. Administer methotrexate

Scenario II:

Mrs. H. is 21 years old woman arrived to the outpatient clinic

complaining of cramping abdominal pain and mild vaginal bleeding.

Pelvic exam shows a left adnexal mass that's tender when palpated.

Culdocentesis shows blood in the culdosac.

Questions 1 to 4 are based on the above scenario

1. What are the most important history assessments for Mrs. H.,

physical examination in your assessment? (3 Marks)

…………………………………………………………………………

….

…………………………………………………………………………

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