Question 1

1. Which finding most strongly differentiates an incomplete abortion from a threatened abortion

Accepted Answer

Passage of some products of conception with an open cervix

Answer

Amenorrhea followed by spotting

Answer

Mildlower abdominal cramps

Answer

Vaginal bleeding with a closed cervical os

Question 2

Which of the following medical interventions is commonly used for the pharmacological management of an incomplete abortion to help expel remaining placental or fetal tissue?

Accepted Answer

Misoprostol

Answer

Methotrexate

Answer

Magnesium sulfate

Answer

Nifedipine

Question 3

Which of the following is a primary risk associated with untreated incomplete abortion that may lead to disseminated intravascular coagulation (DIC)?

Accepted Answer

Excessive hemorrhage and secondary infection

Answer

Chromosomal abnormalities

Answer

Hydatidiform mole formation

Answer

Rh isoimmunization

Question 4

When managing a patient with an incomplete abortion, which of the following is the most appropriate next step if the patient becomes hemodynamically unstable with profuse hemorrhage?

Accepted Answer

Surgical evacuation of the uterus via suction curettage

Answer

Expectant management to allow natural passage

Answer

Administration of a single dose of Methotrexate

Answer

Observation in the clinic for

24

to

48

hours

Question 5

Which of the following complications is a patient with an incomplete abortion at greatest risk for if the remaining products of conception are not fully evacuated and become infected?

Accepted Answer

Septic abortion

Answer

Placenta previa

Answer

Molar pregnancy

Answer

Ectopic pregnancy

Question 6

In the context of an incomplete abortion, what is the primary physiological reason for the continued heavy vaginal bleeding?

Accepted Answer

Retained tissue prevents the myometrium from contracting effectively to compress uterine vessels.

Answer

The sudden increase in systemic progesterone levels prevents clotting.

Answer

The closure of the cervical os traps blood within the uterine cavity.

Answer

A decrease in the production of clotting factors by the fetal liver.

Question 7

Which of the following blood tests is essential in the management of a patient with an incomplete abortion to prevent potential hemolytic disease in future pregnancies?

Accepted Answer

Rh blood typing and antibody screen

Answer

Liver Function Tests

Answer

Blood Urea Nitrogen

Answer

Serum Glucose level

Question 8

A10-week pregnant woman presents with heavy vaginal bleeding and lower abdominalcramps. On examination, the cervix is open, and tissue is visible at the cervical os. Her BP is 88/56 mmHg, and pulse is 124 bpm. What is the nurse’s FIRST priority?

Accepted Answer

Insert two large-bore IV cannulas and begin fluid resuscitation

Answer

Administer prophylactic antibiotics

Answer

Provide emotional reassurance

Answer

Prepare the patient for ultrasound

Question 9

Which surgical procedure is most commonly performed to manage an incomplete abortion in a patient who is experiencing heavy, uncontrolled hemorrhage?

Accepted Answer

Suction curettage

Answer

Diagnostic laparoscopy

Answer

Cervical cerclage

Answer

Uterine artery embolization

Answer

Hysterectomy

Question 10

Which of the following complications is a primary concern if an incomplete abortion is left untreated and the retained products of conception become infected?

Accepted Answer

Septic abortion

Answer

Placenta accreta

Answer

Molar pregnancy

Answer

Ectopic pregnancy

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