A nurse in a gynecology office is caring for a client.
The physical examination reveals inflamed labia majora and minora and a large amount of frothy, yellow-green, malodorous discharge.
Based on the client’s medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

The correct answer is choice a. Excessive uterine enlargement.

Choice A rationale:

Hydatidiform mole, also known as a molar pregnancy, often presents with excessive uterine enlargement. This is due to the abnormal growth of trophoblastic tissue, which can cause the uterus to be larger than expected for gestational age.

Choice B rationale:

An irregular fetal heart rate is not typically associated with a hydatidiform mole because there is usually no viable fetus present in this condition.

Choice C rationale:

A rapid decline in human chorionic gonadotropin (hCG) levels is not expected. Instead, hCG levels are usually abnormally high due to the trophoblastic tissue proliferation.

Choice D rationale:

Profuse, clear vaginal discharge is not a characteristic finding of a hydatidiform mole. Instead, vaginal bleeding or discharge that may be brownish and resemble prune juice is more common.

Choice A rationale

Anomalies in fetal chromosomes can be identified through amniocentesis. This test involves the extraction of a small amount of amniotic fluid, which contains fetal tissues. The chromosomes of the fetus can be examined for abnormalities.

Choice B rationale

Cephalopelvic disproportion refers to a condition where the mother’s pelvis is too small to allow the baby to pass through the birth canal. This condition cannot be identified through amniocentesis. Amniocentesis is a diagnostic procedure that examines the amniotic fluid (not the maternal pelvis or the size of the fetus) to detect chromosomal abnormalities and certain genetic disorders.

Choice C rationale

Fetal gender can be determined through amniocentesis. The test can identify the presence of Y chromosomes, which would indicate a male fetus.

Choice D rationale

Rh incompatibility is a condition that occurs when a mother is Rh-negative and the baby is Rh-positive. This condition cannot be identified through amniocentesis. Instead, it is typically identified through blood tests of the mother and father.

Choice E rationale

Neural tube defects, such as spina bifida and anencephaly, can be identified through amniocentesis. The test can detect high levels of alpha-fetoprotein, which is often present when a fetus has a neural tube defect.