Final Answer:
The probable diagnosis that the nurse should expect is B. Inevitable abortion.
Step-by-step explanation:
Inevitable abortion is characterized by vaginal bleeding, abdominal cramping, and cervical dilation. The client's presentation of a 2 cm dilated cervix at 10 weeks' gestation aligns with the criteria for an inevitable abortion. Inevitable abortion refers to a situation where the process of pregnancy termination is inevitable, and the cervix is dilating as a result. This can be a distressing situation for the client, necessitating prompt medical attention and management.
When a client reports vaginal bleeding and abdominal cramping during early pregnancy, it is crucial for healthcare professionals to assess the cervical status. In this case, the 2 cm dilation indicates that the process of abortion is underway and cannot be prevented. The term "inevitable" underscores the fact that miscarriage is imminent. Timely intervention and supportive care are essential to manage the physical and emotional aspects of this situation, and healthcare providers should address the client's concerns and provide appropriate medical guidance.
In summary, the diagnosis of inevitable abortion in this scenario is based on the clinical presentation of vaginal bleeding, abdominal cramping, and a 2 cm dilated cervix. Understanding the nature of the abortion is crucial for the nurse to provide informed and compassionate care, ensuring that the client receives the necessary medical attention and emotional support during this challenging time.