In threatened abortion, which statement indicates a need for further instruction?

In threatened abortion, which statement indicates a need for further instruction?

• A. I will watch to see if I pass any tissue.
• B. I will maintain strict bed rest throughout the remainder of the pregnancy.
• C. I will count the number of perineal pads used on a daily basis and note the amount and color of blood on the pad.
• D. I will avoid sexual intercourse until the bleeding has stopped and for 2 weeks following the last episode of bleeding.

Answer: (B)

Threatened abortion involves vaginal bleeding with a viable pregnancy, so the plan centers on careful monitoring and appropriate activity rather than blanket, long-term bed rest. Prolonged, strict bed rest throughout the remainder of the pregnancy is not a standard or evidence-based approach and can lead to complications such as decreased circulation, muscle weakness, and increased emotional strain. A more appropriate approach is to rest as tolerated, avoid heavy lifting, and follow the clinician’s guidance on pelvic rest and activity. Keeping track of bleeding by counting perineal pads and noting the amount and color helps assess whether the situation is improving or worsening and guides when to contact a provider. Avoiding sexual intercourse during bleeding is commonly advised, with resumption only after the provider clears it. Report promptly any heavy bleeding (soaking a pad quickly), passage of tissue, fever, severe cramps, or dizziness, as these changes require urgent evaluation.

Threatened abortion involves vaginal bleeding with a viable pregnancy, so the plan centers on careful monitoring and appropriate activity rather than blanket, long-term bed rest. Prolonged, strict bed rest throughout the remainder of the pregnancy is not a standard or evidence-based approach and can lead to complications such as decreased circulation, muscle weakness, and increased emotional strain. A more appropriate approach is to rest as tolerated, avoid heavy lifting, and follow the clinician’s guidance on pelvic rest and activity.

Keeping track of bleeding by counting perineal pads and noting the amount and color helps assess whether the situation is improving or worsening and guides when to contact a provider. Avoiding sexual intercourse during bleeding is commonly advised, with resumption only after the provider clears it. Report promptly any heavy bleeding (soaking a pad quickly), passage of tissue, fever, severe cramps, or dizziness, as these changes require urgent evaluation.