A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea, vomiting; and scant, prune-colored discharge. The client has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect?
Hyperemesis gravidarum
Preterm labor
Hydatidiform mole
Threatened abortion
The Correct Answer is C
A. Hyperemesis gravidarum: Hyperemesis gravidarum is severe nausea and vomiting that leads to dehydration, electrolyte imbalances, and weight loss. However, this client has not experienced weight loss, and the prune-colored discharge is not a sign of this condition.
B. Preterm labor: Preterm labor typically involves contractions and cervical dilation. At 4 months, preterm labor is not likely, and the prune-colored discharge and larger-than-expected fundal height are not signs of preterm labor.
C. Hydatidiform mole: A hydatidiform mole (molar pregnancy) is characterized by abnormal placental development, leading to larger-than-expected fundal height, continued nausea and vomiting, and prune-colored vaginal discharge due to bleeding from the uterus. These findings align with the client's symptoms.
D. Threatened abortion: A threatened abortion involves vaginal bleeding in early pregnancy without the expulsion of the fetus. This condition is typically associated with cramping and a smaller fundal height, which is not seen in this case.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Naloxone: Naloxone is the antidote for opioid overdose, not for magnesium toxicity. The client is receiving magnesium sulfate, not opioids.
B. Flumazenil: Flumazenil is the antidote for benzodiazepine overdose. It is not used to reverse magnesium sulfate toxicity.
C. Protamine sulfate: Protamine sulfate is the antidote for heparin overdose and has no effect on magnesium toxicity.
D. Calcium gluconate: Calcium gluconate is the antidote for magnesium sulfate toxicity. It is used to reverse the effects of magnesium sulfate when signs of toxicity (such as respiratory depression) occur.
Correct Answer is A
Explanation
A. Bright red vaginal bleeding without pain: Placenta previa is characterized by painless, bright red vaginal bleeding in the third trimester due to the placenta covering the cervical opening.
B. Intermittent abdominal pain following passage of bloody mucus: This finding is more typical of labor or cervical changes rather than placenta previa.
C. Abdominal pain with minimal red vaginal bleeding: Placenta previa typically causes painless bleeding. Abdominal pain may suggest a different condition, such as placental abruption.
D. Severe abdominal pain with increasing fundal height: Severe abdominal pain and a rapidly increasing fundal height are more indicative of placental abruption rather than placenta previa.
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