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 B
Explanation
Choice A rationale
Chronic hypertension increases the risk of complications but is not necessarily the highest risk compared to elevated blood pressure and obesity combined in pregnancy.
Choice B rationale
Elevated blood pressure and a high BMI significantly increase the risk for complications like preeclampsia, gestational diabetes, and preterm birth in pregnancy.
Choice C rationale
A 16-year-old pregnant client is at risk due to age, but not as high as the compounded risks of hypertension and obesity.
Choice D rationale
A history of fetal demise increases risk, but current elevated blood pressure and high BMI in an older client present higher immediate pregnancy complication risks.
Correct Answer is C
Explanation
Choice A rationale
Intraventricular hemorrhage (IVH) is a common complication of prematurity, but it is a neurological issue, not a primary respiratory anomaly.
Choice B rationale
Meconium aspiration syndrome (MAS) occurs when a newborn inhales meconium-stained amniotic fluid, leading to respiratory issues, more common in term or post-term infants.
Choice C rationale
Neonatal respiratory distress syndrome (NRDS) is a common respiratory anomaly in preterm infants due to insufficient surfactant production, causing alveolar collapse and impaired gas exchange.
Choice D rationale
Fetal lung hypoplasia, or underdeveloped lungs, can occur in various conditions but is not specifically a respiratory anomaly linked directly to prematurity.
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