Question

A nurse at a provider's office is caring for a client who is 28 years of age

History and Physical
Day 1 at 1000:Gravida 3, Para 2, Abortion 1Asthma (managed with levalbuterol inhaler as needed)Pelvic inflammatory disease (PID)Spontaneous vaginal delivery X 2 (hypertension with first pregnancy at 20 years of age)Voluntary termination of pregnancy (3rd pregnancy)
Nurses' Notes
Day 1 at 1000:Client presents to the office with concerns of late menses, abdominal pain, and scant dark red vaginal spotting. Client reports menstrual period is usually regular and is 2 weeks late. Last menstrual period: 2/20/XX. Client reports occasional dull abdominal pain and rates it as 2 on a 0 to 10 pain scale. Client is alert and oriented, appears anxious. Speech clear. Skin warm and dry to touch. Heart rate regular at 90/min. Respirations even and non-labored. Lungs slight inspiratory wheezes. Bowel sounds hyperactive in all four quadrants. Abdomen tender to touch right lower quadrant. Perineal pad with scant amount of dark red vaginal spotting.
Vital Signs
Day 1 at 1000:Temperature 37.2° C (98.9° F)Heart rate 90/minRespirations 16/minBlood pressure 120/74 mm HgOxygen saturation 97% room air

Diagnostic Res

Answer 1

Abdominopelvic cramping and minor bleeding 3 weeks after the last menstrual period could be implantation bleeding.

Step-by-step explanation:

A brief episode of abdominopelvic cramping and minor bleeding approximately 3 weeks after the last menstrual period could be attributed to implantation bleeding. Implantation bleeding occurs when a fertilized egg attaches itself to the lining of the uterus. It is usually light and lasts for a short period of time.