A nurse in a prenatal clinic is caring for a client suspected of having a hydatidiform mole.

What findings should the nurse expect to observe in this client?

Irregular fetal heart rate.

Profuse, clear vaginal discharge.

Excessive uterine enlargement.

Rapid decline in human chorionic gonadotropin (hCG) levels.

Answer and Explanation

The Correct Answer is C

Choice A rationale
An irregular fetal heart rate is not a typical finding in a hydatidiform mole. In a complete molar pregnancy, no embryo forms, and thus, there would be no fetal heart rate to measure.
Choice B rationale
While vaginal discharge can occur in a molar pregnancy, it is typically described as brownish or bloody, not clear.
Choice C rationale
Excessive uterine enlargement is a common symptom of a hydatidiform mole. This occurs because the abnormal placental tissue grows rapidly, which can cause the uterus to expand more quickly than it would in a normal pregnancy.
Choice D rationale
In a molar pregnancy, human chorionic gonadotropin (hCG) levels typically rise more rapidly than they would in a normal pregnancy, not decline rapidly.

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Correct Answer is A

Explanation

Choice A rationale
Ovulation is initiated by a surge in luteinizing hormone (LH)16171819. LH stimulates the release of a mature egg from the ovary, a process known as ovulation.
Choice B rationale
Prostaglandins are a group of lipids that are involved in dealing with injury or illness. They do not initiate ovulation.
Choice C rationale
Estrogen is produced as the follicle develops and matures. High levels of estrogen trigger the pituitary gland to release LH, which then initiates ovulation.
Choice D rationale
Progesterone is a hormone that prepares the body for pregnancy. It does not initiate ovulation. Amniocentesis Explore

A. Activities that raise the body temperature, such as saunas and hot tubs, are safe until the third trimester. B. Exercising during pregnancy is not recommended. C. Daily jogging for up to 30 minutes is fine throughout the pregnancy. D. It is recommended that pregnant clients limit their exercise routine to stretching activities on a mat several times a week.

Correct Answer is C

Explanation

Choice A rationale
Activities that raise the body temperature, such as saunas and hot tubs, are generally not recommended during pregnancy. Elevated body temperature, particularly during the first trimester, has been associated with an increased risk of neural tube defects.
Choice B rationale
The statement that exercising during pregnancy is not recommended is not accurate. Regular exercise during pregnancy can have many benefits, including reduced risk of gestational diabetes, preeclampsia, and cesarean delivery.
Choice C rationale
Daily jogging for up to 30 minutes is generally safe throughout pregnancy for women who were regular runners before becoming pregnant. However, it’s important to discuss any exercise regimen with a healthcare provider.
Choice D rationale
While stretching activities can be beneficial during pregnancy, they should not be the only form of exercise. A balanced exercise routine that includes aerobic and strength-training exercises is generally recommended.

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A nurse in a prenatal clinic is caring for a client suspected of having a hydatidiform mole. What findings should the nurse expect to observe in this client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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A nurse in a prenatal clinic is caring for a client suspected of having a hydatidiform mole.

What findings should the nurse expect to observe in this client?