Question

What instructions should be given to the woman with a threatened abortion?

a) Encourage bed rest and monitor bleeding.
b) Advise vigorous exercise to reduce stress.
c) Administer uterine stimulants immediately.
d) Disregard any bleeding unless it becomes severe.

Answer 1

For women with a threatened abortion, the most critical advice is to rest and monitor for any changes in bleeding or pain, avoid sexual intercourse, and ensure hydration and nutrition. Medical advice should be sought immediately if symptoms worsen.

Step-by-step explanation:

The correct instruction to be given to a woman with a threatened abortion is to encourage bed rest and monitor bleeding (Option a). This is because rest may help to alleviate the condition, whereas vigorous activity, uterine stimulants or disregarding the bleeding could potentially put both the mother and fetus at greater risk. It is crucial to closely observe any signs of bleeding or abdominal cramping and seek medical advice accordingly. The aforementioned rest and monitoring are essential processes during a threatened abortion to ensure safety for the woman and to possibly preserve the pregnancy.

In cases of a threatened abortion, other instructions might include:

• Seek immediate medical attention if bleeding increases or if severe pain occurs.
• Avoid sexual intercourse as it may exacerbate the condition.
• Stay hydrated and maintain proper nutrition.

Moreover, the obstetrician should check the expelled placenta and fetal membranes after birth to avoid complications such as postpartum hemorrhage. Breastfeeding can help in the process of involution, returning the uterus and abdominal organs to their pre-pregnancy state.