Final answer:
The nurse instructs the client to bring the passed tissue for placental examination to identify any pathological conditions or infections that may have caused a miscarriage and to inform future healthcare.
Step-by-step explanation:
When a pregnant woman reports symptoms such as abdominal cramping, cervical dilation, vaginal spotting, and the passing of tissue, these are signs of a possible miscarriage or complication in the pregnancy. The nurse instructs the client to bring the passed tissue to the hospital for a placental examination. This is crucial for determining the cause of the symptoms and ensuring the health of the mother. The tissue can be examined for signs of pathological conditions, including abnormal development or infection that may have led to a miscarriage. A thorough analysis of the tissue can also inform the healthcare team about potential risks for future pregnancies and guide the patient's subsequent care.