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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Age alone is not a contraindication for the use of ovulation suppressants. Many women safely and effectively use these methods of contraception into their 30s and beyond.
Choice B rationale
This is the correct answer. A family history of thromboembolism can increase the risk of developing blood clots, a potential side effect of hormonal contraceptives like birth control pills.
Choice C rationale
Irregular menstrual cycles can sometimes be regulated by the use of hormonal contraceptives, so this would not necessarily indicate that an ovulation suppressant is not a good choice.
Choice D rationale
An allergy to foreign protein is not typically a contraindication for the use of ovulation suppressants. Birth control Explore
Correct Answer is B
Explanation
Choice A rationale
While inserting an indwelling urinary catheter may be necessary in some cases, it is not the priority nursing action in this situation.
Choice B rationale
This is the correct answer. Initiating IV access is the priority nursing action. This allows for rapid administration of fluids and medications, which can be crucial in managing the client’s condition.
Choice C rationale
Preparing the abdominal and perineal areas may be necessary if the client requires surgical intervention, but it is not the priority nursing action.
Choice D rationale
Witnessing the signature for informed consent for surgery is important if surgery is needed, but it is not the priority nursing action.
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