A client reports an intermittent dark brown vaginal discharge for the past three days.
The nurse should assess the client for signs of molar pregnancy.
The nurse should evaluate the risk for hypovolemic shock due to blood loss.
The nurse should ensure appropriate laboratory testing for the diagnosis of choriocarcinoma.
The nurse should prioritize preparing the client for suction and curettage.
The Correct Answer is A
Choice A rationale
Molar pregnancy often manifests as intermittent dark brown vaginal discharge due to trophoblastic tissue expulsion. It warrants assessment as it correlates with hCG elevation and abnormal placental development.
Choice B rationale
Although significant blood loss could occur, dark brown discharge is not indicative of active hemorrhage. Hypovolemic shock typically results from acute red blood loss, not the chronic nature of this presentation.
Choice C rationale
Choriocarcinoma is a concern in cases following molar pregnancies, yet dark brown discharge alone does not confirm malignancy. Laboratory testing may be indicated, but it is not the immediate priority here.
Choice D rationale
Suction and curettage are treatment options for molar pregnancy but are contingent upon confirmed diagnosis. This intervention is premature without comprehensive assessment findings suggesting molar pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Fetal hypoxemia manifests as late decelerations, not early decelerations. Early decelerations are benign and do not indicate hypoxemia or oxygen deprivation.
Choice B rationale
Uteroplacental insufficiency causes late decelerations due to decreased oxygen delivery. Early decelerations are unrelated to this condition.
Choice C rationale
Cord compression results in variable decelerations due to intermittent blood flow obstruction. Early decelerations are not caused by cord issues.
Choice D rationale
Early decelerations result from fetal head compression, stimulating the vagus nerve and leading to transient heart rate decreases. This is common during contractions. .
Correct Answer is ["A","B"]
Explanation
Choice A rationale
Continuous monitoring of fetal heart rate provides early detection of distress in placenta previa cases, ensuring timely intervention to prevent complications such as fetal hypoxia or preterm birth.
Choice B rationale
Betamethasone accelerates fetal lung maturity, reducing the risk of respiratory distress syndrome if preterm delivery occurs, which is crucial in placenta previa cases at 35 weeks of gestation.
Choice C rationale
Cervical checks in placenta previa cases increase the risk of bleeding and further complications due to disruption of placental attachment, contraindicating frequent dilation assessments.
Choice D rationale
Misoprostol is contraindicated in placenta previa due to its potential to induce uterine contractions, which can worsen bleeding and lead to placental separation or fetal harm.
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