A G2P1 pregnant patient presents in clinic for her 10-week prenatal visit. Which of the following findings could indicate a hydatidiform mole?
Frequent mild nausea in the morning upon rising.
Fundal height measurement of 20cm.
Increased fatigue during the day the past few weeks.
Maternal blood pressure of 126/82.
The Correct Answer is B
Hydatidiform mole is a rare complication of pregnancy that occurs when the placenta develops into an abnormal mass of cysts rather than a healthy placenta. Signs and symptoms of molar pregnancy may include vaginal bleeding during the first trimester of pregnancy, unusually high levels of hCG, and a uterus that is larger than expected for the gestational age. Hyperemesis gravidarum is also common.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Based on the provided information, the probable diagnosis for the spontaneous abortion in this woman would be a threatened abortion, since the cervix is closed and there is no evidence of expulsion of fetal or placental tissue. A threatened abortion is defined as vaginal bleeding occurring before the 20th week of gestation, with a closed cervical os, and no expulsion of fetal or placental tissue.
The other types of spontaneous abortion are defined as follows:
B. Inevitable abortion: vaginal bleeding and cramping with an open cervical os, with or without expulsion of fetal or placental tissue
C. Missed abortion: fetal demise without expulsion of fetal tissue, and may be associated with a closed cervical os and absence of uterine contractions
D. Incomplete abortion: partial expulsion of fetal or placental tissue, with or without vaginal bleeding, and may be associated with an open cervical os and uterine contractions
Correct Answer is C
Explanation
Completing the Finnegan score is the most appropriate nursing intervention to help with the infant's hyperreflexia. The Finnegan score is a tool used to assess and monitor newborns for withdrawal symptoms related to maternal substance use during pregnancy, and hyperreflexia is one of the symptoms that can be scored using this tool. Based on the score, appropriate interventions can be implemented to address the infant's symptoms.
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