Page 391 - Critical Maternity & Newborn Health Nursing

4. Based on the clinical presentation and ancillary studies, a dilation and

curettage (D&C) was performed. The curettings were submitted for

pathological examination.

5.The curetting (immersed in water) shows uniform dilation of the chorionic

villi on gross examination. Histological examination of the curetting shows
uniform dilation of chorionic villi with cistern formation accompanied by

marked trophoblast hyperplasia around the circumference of the chorionic
villi. No fetal tissue is present.

Scenario IV:

1. Severe vaginal bleeding contains dark clots during late pregnancy (32 weeks)

and abdominal pain.

2. The patient’s blood pressure and pulse rate indicate that she is shocked.

Therefore, she must first be resuscitated.

3. As the fetus is viable, it is of great importance to establish whether the fetus

is still alive. Therefore, it must be urgently established whether the fetal

heartbeat is present or not.

Scenario V:

1. A

2. A

3. B

4. A

5.

1. Allows descent of head so it compresses the placental site preventing

further bleeding.

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