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 ["B","C","D"]

Explanation

Choice A rationale
Cephalopelvic disproportion refers to a mismatch between the size of the fetal head and the mother’s pelvis, making it difficult for the baby to pass through the birth canal. This condition is not identified through amniocentesis.
Choice B rationale
Amniocentesis is a procedure where a small amount of amniotic fluid, which contains fetal tissues, is sampled and tested. This test can indeed identify anomalies in fetal chromosomes. It can detect genetic disorders such as Down syndrome, spina bifida, and cystic fibrosis.
Choice C rationale
Neural tube defects, such as spina bifida, can be detected through amniocentesis. These defects occur when the neural tube, which forms the brain and spinal cord, fails to close completely during the first few weeks of embryonic development.
Choice D rationale
Amniocentesis can also determine the fetal gender. This is because the test analyzes the chromosomes present in the fetal cells found in the amniotic fluid. Males have XY chromosomes, while females have XX chromosomes.
Choice E rationale
Rh incompatibility is a condition where the mother’s Rh blood type and the baby’s Rh blood type are incompatible. This can lead to the mother’s immune system attacking the Rh positive cells of the baby. However, Rh incompatibility is not detected through amniocentesis. It is typically identified through blood tests.

A. 2-0-0-2-0 B. 3-0-2-0-2 C. 4-2-0-2-2 D. 4-0-1-2-2

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a patient who is 15 weeks pregnant and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following conditions? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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?