A Client Who Was Pregnant Had a Spontaneous Abortion at Approximately

Multiple Choice

A client who was pregnant had a spontaneous abortion at approximately 4 weeks' gestation. At the time of the miscarriage, it was thought that all products of conception were expelled. Two weeks later, the client presents at the clinic office complaining of "crampy" abdominal pain and a scant amount of serosanguineous vaginal drainage with a slight odor. The pregnancy test is negative. Vital signs reveal a temperature of 100° F, with blood pressure of 100/60 mm Hg, irregular pulse 88 beats/min (bpm) , and respirations, 20 breaths/min. Based on these assessment data, what does the nurse anticipate as a clinical diagnosis?

A) Ectopic pregnancy
B) Uterine infection
C) Gestational trophoblastic disease
D) Endometriosis