North American Registry of Midwives (NARM) Practice Exam

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What is a common recommendation following a spontaneous abortion?

Immediate return to normal activity
Gradual exercise resumption
Avoidance of sexual activity for specified weeks
Increased hydration and nutrition

The correct answer is: Avoidance of sexual activity for specified weeks

Following a spontaneous abortion, it is common to recommend avoiding sexual activity for a specified period. This recommendation is grounded in the need for physical and emotional recovery after the loss. Engaging in sexual activity too soon may pose risks such as infection or delay the healing process, both physically and emotionally. Additionally, abstaining from sexual intercourse allows time for the uterus to contract and return to its pre-pregnancy state, reducing the risk of complications. This approach also considers the psychological aspects of grief and the emotional turmoil often experienced after a spontaneous abortion, allowing individuals to process their feelings without the added complexity of sexual involvement. While the other options can also be part of the recovery process, they are not as universally emphasized as the recommendation to avoid sexual activity, which directly addresses potential physical concerns following the event. Therefore, the guidance to refrain from sexual activity is a critical component of post-abortion care.