A woman had an elective surgical abortion 7 weeks ago and calls the clinic to ask when her menstrual periods should return. What response by the nurse is most appropriate?

A.
"I will ask the physician to prescribe misoprostol (Cytotec)."
B.
"It usually takes 1 to 3 months for your menstrual periods to return."
C.
"Please come in to the clinic today for a checkup."
D.
"You should be seen in the emergency department."


ANS: C
Short-term complications from surgical abortions include fever, abdominal pain, prolonged or heavy bleeding with large clots, foul-smelling vaginal discharge, and no menstrual period within 6 weeks. The woman should be advised to come in for a checkup. Cytotec is used to help dilate the cervix and is inappropriate here. The woman does not need to go to the emergency department.

Nursing

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