Question

A woman of 16 weeks' gestation telephones the nurse because she has passed some "berry-like" blood clots and now has continued dark brown vaginal bleeding. Which action would the nurse instruct the woman to do?

a. Come to the hospital immediately

b. Continue normal activities unless bleeding worsens

c. Rest in bed and avoid all activities

d. Insert a tampon to control bleeding

Answer 1

A pregnant woman at 16 weeks' gestation experiencing blood clots and brown vaginal bleeding should be instructed to come to the hospital immediately for assessment and to avoid activities, including the use of a tampon, which could be harmful.

Step-by-step explanation:

The action a nurse should instruct a woman with 16 weeks' gestation who has passed some "berry-like" blood clots and now has continued dark brown vaginal bleeding to take is to come to the hospital immediately. Vaginal bleeding during pregnancy can be a sign of a potential complication such as a threatened miscarriage or other issues that require prompt medical attention. Instructing the use of a tampon is not advisable as it may introduce bacteria or further disrupt the vaginal environment. Complete rest in bed and avoiding all activities might be appropriate until she can be evaluated, but this should not delay seeking immediate medical attention. Continuing normal activities could be detrimental if the bleeding is indicative of a serious issue. Therefore, immediate assessment by a healthcare professional is necessary.