A client has been diagnosed with a ruptured ectopic pregnancy. Which of the following signs or symptoms is characteristic of this diagnosis?
Severe nausea and vomiting.
Bradycardia.
Referred shoulder pain.
Heavy vaginal bleeding.
The Correct Answer is C
Choice A rationale
Severe nausea and vomiting are not specific symptoms of a ruptured ectopic pregnancy but may occur due to other unrelated conditions.
Choice B rationale
Bradycardia is not characteristic of a ruptured ectopic pregnancy but could indicate other cardiovascular issues or conditions.
Choice C rationale
Referred shoulder pain is a hallmark symptom of a ruptured ectopic pregnancy due to diaphragmatic irritation from internal bleeding, indicating potential rupture.
Choice D rationale
Heavy vaginal bleeding can occur in various conditions but is not as specific to ruptured ectopic pregnancy as referred shoulder pain indicating internal bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Amniotic fluid embolism is characterized by the sudden onset of respiratory distress due to the entry of amniotic fluid into the maternal circulation.
Choice B rationale
Maternal bradycardia is not a specific symptom of amniotic fluid embolism and may be related to other cardiovascular conditions.
Choice C rationale
Category 1 fetal heart tracing indicates normal fetal heart rate and is not associated with amniotic fluid embolism.
Choice D rationale
Acute, continuous abdominal pain could indicate other obstetric emergencies but is not specifically linked to amniotic fluid embolism symptoms like respiratory distress.
Correct Answer is B
Explanation
Choice A rationale
The Ballard exam assesses gestational age, not substance exposure. It does not provide information about substance use disorder.
Choice B rationale
Non-nutritive sucking with a pacifier provides comfort and soothes newborns experiencing withdrawal symptoms due to substance exposure.
Choice C rationale
Naloxone is used to reverse opioid overdose, but it is not indicated for routine care of newborns with substance exposure.
Choice D rationale
Frequent bonding can overstimulate newborns withdrawing from substances. Limited, calming interactions are more appropriate in this context.
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