Question

A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with: A. Magnesium sulfate B. Calcium gluconate C. Dinoprostone (Prostin E.) D. Bromocrystine (Pardel)

Short answer

Answer: Dinoprostone (Prostin E.)

Step-by-step solution

Understand the Problem

The client has experienced a missed abortion at 29 weeks gestation. A missed abortion is a condition in which the fetus has died in the uterus, but the body has not expelled it. Hence, the primary goal is to remove the fetus safely and effectively.

Research Medication Options

We are given four medication options to treat this patient: Magnesium sulfate (A), Calcium gluconate (B), Dinoprostone (C), and Bromocriptine (D). We will research each medication to understand how they act in the body and if they can address the problem presented.

Analyze the Options

A. Magnesium sulfate: Primarily used in obstetrics for the prevention of seizures in women with preeclampsia, it is not employed for the treatment of missed abortions. B. Calcium gluconate: Used to treat hypocalcemia (low calcium levels) or hyperkalemia (high potassium levels), it is also not relevant for treating missed abortions. C. Dinoprostone (Prostin E): Dinoprostone is a synthetic form of prostaglandin E2, which helps to induce labor and cervical ripening by causing uterine contractions. This medication is employed to aid in the expulsion of the fetus in cases of missed abortion. Thus, it is a viable option. D. Bromocriptine (Pardel): Bromocriptine functions by reducing the production of prolactin hormone, primarily used to treat high levels of prolactin, Parkinson's disease, and certain pituitary tumors. It is not used in the treatment of missed abortions.

Choose the Correct Treatment

Based on the analysis of each medication option, we can ascertain that Dinoprostone (Prostin E.) (Option C) is the most appropriate treatment for a client with a missed abortion at 29 weeks gestation. This is because it helps induce labor and cause uterine contractions, which are necessary to expel the nonviable fetus.