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.

Answer and Explanation

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.

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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.

A. Vaginal bleeding. B. Abdominal pain. C. Uterine tenderness. D. Fetal distress. E. Back pain.

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale

Vaginal bleeding is a key sign of placenta abruption due to separation from the uterine wall disrupting blood vessels.

Choice B rationale

Abdominal pain occurs as the placenta detaches, causing uterine muscle irritation and potential contractions.

Choice C rationale

Uterine tenderness results from inflammation and bleeding within the uterine wall at the site of abruption.

Choice D rationale

Fetal distress signals reduced oxygen supply due to compromised blood flow from the placenta to the fetus.

Choice E rationale

Back pain is common as the detachment and bleeding irritate the surrounding muscles and ligaments.

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A client has been diagnosed with a ruptured ectopic pregnancy. Which of the following signs or symptoms is characteristic of this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C","D","E"]

Explanation

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