North American Registry of Midwives (NARM) Practice Exam

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What is a primary reason a client is advised to wait before resuming sexual intercourse after a first trimester spontaneous abortion?

To ensure the hormonal levels stabilize
To allow for emotional recovery
Because of the increased risk of infection
To prevent physical discomfort during intercourse

The correct answer is: Because of the increased risk of infection

The primary reason a client is advised to wait before resuming sexual intercourse after a first trimester spontaneous abortion is to minimize the risk of infection. After a miscarriage, the cervix may remain slightly open for a time, which can increase the likelihood of bacteria entering the uterus. Engaging in sexual intercourse can introduce pathogens, leading to potential complications such as pelvic inflammatory disease or sepsis. While emotional recovery, hormonal stabilization, and physical discomfort are important considerations, the critical focus in the immediate aftermath of a spontaneous abortion is to ensure that the body is given time to heal properly and to avoid introducing any risk factors that could jeopardize recovery. Infections can complicate physical healing and have broader implications for future pregnancies, making this a priority in post-abortion care.