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 D
Explanation
Choice A rationale
IUD replacement depends on the type. For instance, hormonal IUDs typically last 3-5 years, and copper IUDs can last up to 10 years. Annual replacement is unnecessary.
Choice B rationale
Spermicide use is unnecessary with an IUD as its primary function is to prevent fertilization. This statement reflects a lack of understanding of IUD mechanisms.
Choice C rationale
Periods may become lighter or irregular with hormonal IUDs, but they rarely stop completely. Copper IUDs may actually increase menstrual flow in some cases.
Choice D rationale
Checking for the string ensures proper IUD positioning and functionality. This monthly practice helps detect dislodgement or expulsion, which can compromise contraceptive effectiveness.
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