The nurse is caring for a client who is 12 weeks pregnant and presented with the following symptoms: mild uterine cramping with spotting of blood. The cervical os is closed upon examination. How should the nurse chart the findings?

  1. missed miscarriage
  2. complete miscarriage
  3. inevitable miscarriage
  4. threatened miscarriage
Number 4 is correct.
Rationale: Threatened miscarriage presents with mild uterine cramping, spotting of blood, and a closed cervical os. A missed miscarriage refers to a pregnancy in which the fetus has died but the products of conception may be retained in utero for several weeks. The cervical os remains closed, and there may or may not be bleeding or cramping. With an inevitable or incomplete miscarriage, a moderate to heavy amount of bleeding is present with an open cervical os.