The nurse is caring for a client who had a spontaneous abortion. The nurse’s priority should be assessing the client for–

Correct option is A

Sol. After a spontaneous abortion (miscarriage), the priority for a nurse is to monitor the client for hemorrhage, which can be life-threatening. Excessive vaginal bleeding, dropping vital signs, and pallor may be early signs. Immediate assessment and interventions such as IV fluids, blood transfusion, and uterotonics are often required. Early detection can prevent hypovolemic shock and preserve maternal health.
Explanation of each option:
· (a) Hemorrhage – Correct. It is the most immediate and dangerous complication following a miscarriage, requiring priority nursing assessment and intervention.
· (b) Dehydration – Incorrect. While dehydration may occur in prolonged vomiting or fever, it is not a primary concern immediately after spontaneous abortion.
· (c) Hypertension – Incorrect. Although important in obstetrics, hypertension is not typically the most urgent concern after miscarriage unless the client has preeclampsia.
· (d) Sub-involution – Incorrect. Sub-involution (failure of uterus to return to normal size) is a later postpartum complication, not an immediate post-abortion concern.