DSSSB 12 August 2024
Obstetrics & Gynaecology
Easy
Which of the following statements is true regarding threatened abortion?
Appeared in: DSSSB 12 August 2024
Explanation
- Threatened abortion is defined by the presence of vaginal bleeding before the 20th week of gestation.
- A critical diagnostic feature is a closed cervical os, indicating that the pregnancy is not yet in the process of being expelled.
- There is no passage of fetal or placental tissue (products of conception).
- While it signals a risk, the pregnancy is still considered potentially viable and may continue to term.
Why Other Options Were Wrong
- Option A: This statement describes an incomplete abortion, not a threatened abortion.
- Option B: This statement defines a complete abortion.
- Option C: This statement describes an inevitable abortion.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Clinical presentation and differentiation of types of spontaneous abortion as background academic context rather than a clinical decision trigger.
- Accurate differentiation between types of abortion is critical for determining the correct clinical management. Threatened abortion is typically managed with observation and supportive care (e.g., pelvic rest), whereas incomplete or inevitable abortions may require medical or surgical intervention (e.g., misoprostol or dilation and curettage) to prevent hemorrhage and infection.
- Nurses play a vital role in assessing the amount and character of bleeding, monitoring vital signs for signs of shock, managing pain, and providing crucial emotional support and education to the patient and her family during a stressful time.
- What if? If the patient's cervix was found to be open on examination, the diagnosis would change from threatened to inevitable abortion. The management plan would then shift from expectant management to preparing for the likely expulsion of the pregnancy and potential intervention to ensure it is complete.
How to Approach the Question
- First, identify the key term in the question: 'threatened abortion'.
- Recall the clinical definition of a threatened abortion. Focus on three main criteria: 1) Gestational age (before 20 weeks), 2) Status of the cervical os, and 3) Passage of products of conception.
- Systematically evaluate each option against the definition.
- Option A mentions a dilated cervix and expulsion of products, which is characteristic of an incomplete abortion.
- Option B describes events after all products are expelled, which defines a complete abortion.
- Option C notes advanced cervical dilation, which points to an inevitable abortion.
Concept Tested & Keywords
- Concept Tested: Clinical presentation and differentiation of types of spontaneous abortion.
- Stem keywords: threatened abortion, true statement
- Lead-in keywords: true regarding
- Negative lead-in flag: false
Question ID
QLPMpAc0MDjon5lHXxPfQ4
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 8397-8399
E6 Gynecology Williams p. 147-178
Practise the full DSSSB 12 August 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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