Why might a woman expect that her pregnancy is going to end?

Choices:
A. She is bleeding
B. She is walking around the mall
C. She is driving
D. not enough information
She is bleeding
As a nurse, what is the most difficult news you have ever had to break to a patient?
Sadly in my job (Ob/gyn nurse) there is one thing I have to report fairly often, that a pregnancy is not going to happen. Sometimes the mom’s are bleeding and they kind of know that this is going to happen, but sometimes, they are not bleeding and it is a gut punch without any warning. This can be an ultrasound that shows no heartbeat or a lab test that is declining.
Nothing is worse than the look on a woman’s face when she is looking forward to her first glimpse of her baby only to be told that the baby is not alive. It doesn’t get any easier, no matter how many times you do it.
My own daughter called me one day to announce she was pregnant and two days later, we found out she was miscarrying and I bawled all day. I never even knew this baby, but now, 15 years later, just writing this now is making my eyes water.
I have to do a lot of this over the phone and that makes it even harder because I am not able to offer comfort and I don’t know where they are or what they are doing when they get this news. If they call me for their lab results, they might be driving, they might be walking around the mall, they will have to call their significant other and break the news, such difficult conversations to have over the phone.
I have been very, very lucky that the few times I have seen advanced pregnancies that underwent a fetal demise were handled by the physicians that I have worked with. I can’t imagine being almost ready to deliver and having all your hopes and dreams crushed. Obstetricians sometimes have the very best job, bringing new lives into the world and seeing the new families bonding, but sometimes they also have the very worst job.