A patient who is in the first trimester of pregnancy has experienced an incomplete abortion. The obstetric nurse should prepare the patient for what possible intervention?
A) Dilation and evacuation
B) Several days of bed rest
C) Administration of hydromorphone
D) IV administration of clomiphene
Ans: A
Feedback:
If only some of the tissue is passed, the abortion is referred to as incomplete. An emptying or evacuation procedure (D&C, or dilation and evacuation [D&E]) or administration
of oral misoprostol (Cytotec) is usually required to remove the remaining tissue. Bed rest will not necessarily result in the passing of all the tissue. Clomiphene and hydromorphone are of no therapeutic benefit.
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