A nurse is attending to an antepartum client whose lab results show a negative rubella titer.
What is the correct interpretation of this data?

Choice D rationale

Unilateral, cramp-like abdominal pain. This is a common symptom of an ectopic pregnancy. The pain usually starts on one side of the abdomen after the early stages of pregnancy and may be accompanied by spotting or vaginal bleeding.

Choice A rationale

Large amount of vaginal bleeding. While vaginal bleeding can occur in an ectopic pregnancy, it’s usually light to moderate, not large. Heavy vaginal bleeding is more commonly associated with miscarriage or other conditions.

Choice B rationale

Severe nausea and vomiting. While some women with an ectopic pregnancy may experience nausea and vomiting, these symptoms are common in early pregnancy and are not specific to ectopic pregnancy.

Choice C rationale

Uterine enlargement greater than expected for gestational age. This is not a typical symptom of an ectopic pregnancy. In fact, because the pregnancy is not in the uterus, the size of the uterus may be smaller than expected for the gestational age.

Choice A rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate A. Anticipate A might be expected for a different set of symptoms or conditions.

Choice B rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate B. Anticipate B might be expected for a different set of symptoms or conditions.

Choice C rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate C. Anticipate C might be expected for a different set of symptoms or conditions.

Choice D rationale

The client’s symptoms of recent painful sores on the perineum, muscle aches, and chills, along with current discomfort when sitting and mild vaginal itching, could suggest a herpes simplex virus infection or another type of infection. Anticipate D might be an antiviral medication or other treatment to address the suspected condition.