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.
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 C
Explanation
Choice A rationale
This choice suggests that the client has had 2 pregnancies with no term births, no preterm births, 2 abortions, and no living children. However, this does not accurately reflect the client’s history, which includes one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks.
Choice B rationale
This choice suggests that the client has had 3 pregnancies with no term births, 2 preterm births, no abortions, and 2 living children. This does not accurately reflect the client’s history.
Choice C rationale
This choice suggests that the client has had 4 pregnancies with 2 term births, no preterm births, 2 abortions, and 2 living children. This accurately reflects the client’s history. The client has been pregnant 4 times (one current pregnancy, one set of twins, one elective abortion, and one spontaneous abortion). The client has had 2 term births (the twins), no preterm births, 2 abortions (one elective and one spontaneous), and 2 living children (the twins)12.
Choice D rationale
This choice suggests that the client has had 4 pregnancies with no term births, 1 preterm birth, 2 abortions, and 2 living children. This does not accurately reflect the client’s history.
Correct Answer is D
Explanation
Choice A rationale
While maintaining a healthy blood pressure is important during pregnancy, folic acid does not directly control the risk of hypertension.
Choice B rationale
Folic acid does not directly affect weight gain during pregnancy.
Choice C rationale
While folic acid is important for overall health, it does not specifically maintain energy throughout pregnancy.
Choice D rationale
Folic acid is crucial for early fetal development, particularly for the development of the neural tube, which becomes the brain and spine. Adequate intake of folic acid can help prevent neural tube defects in the developing fetus. EthnocentrismEthnocentrism Explore
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