SHEREEN S.

MANABILANG

BSN 4

CASE STUDY #2
Sandra, 30 years old, multigravida, is having moderate bleeding, rupture of
membranes, and cervical dilation.
1.) What is the type of abortion that is now being experienced by Sandra?
Imminent (Inevitable Miscarriage)
Reference: MATERNAL & CHILD HEALTH NURSING
Care of the Childbearing & Childbearing Family
By: Adele Pillitteri (page 557)

2.) Why should Sandra save any tissue fragments that she had passed?
She should save any tissue fragments she passed and bring them with
her so they can be examined.
Reference: MATERNAL & CHILD HEALTH NURSING
Care of the Childbearing & Childbearing Family
By: Adele Pillitteri (page 557)

3.) What is the purpose of a vacuum extraction (dilatation and evacuation)?

To ensure that all the products of conception are removed.
Reference: MATERNAL & CHILD HEALTH NURSING
Care of the Childbearing & Childbearing Family
By: Adele Pillitteri (page 557)

4.) How will you know that Sandra is having an abnormally heavy bleeding?
A woman should assess vaginal bleeding by recording the number of pads
she uses. Saturating more than one pad per hour is abnormally heavy
bleeding.
Reference: MATERNAL & CHILD HEALTH NURSING
Care of the Childbearing & Childbearing Family
By: Adele Pillitteri (page 557)

5.) What is the mechanism of action of prostaglandin analogs? Give an example.

Mechanism of Action: used to stat labor, induced abortions, prevent and
treat stomach ulcers, and treat postpartum bleeding due to insufficient
contraction of the uterus.
Examples:
Mifeprestone
Methotrexate
Reference: www.drugslabor.com