A nurse is caring for a client who has a positive pregnancy test.
The nurse is teaching the client about common discomforts in the first trimester of pregnancy as well as warning signs of potential danger.
The nurse should instruct the client to call the clinic if she experiences which of the following manifestations?

The correct answer is choice a. Excessive uterine enlargement.

Choice A rationale:

Hydatidiform mole, also known as a molar pregnancy, often presents with excessive uterine enlargement. This is due to the abnormal growth of trophoblastic tissue, which can cause the uterus to be larger than expected for gestational age.

Choice B rationale:

An irregular fetal heart rate is not typically associated with a hydatidiform mole because there is usually no viable fetus present in this condition.

Choice C rationale:

A rapid decline in human chorionic gonadotropin (hCG) levels is not expected. Instead, hCG levels are usually abnormally high due to the trophoblastic tissue proliferation.

Choice D rationale:

Profuse, clear vaginal discharge is not a characteristic finding of a hydatidiform mole. Instead, vaginal bleeding or discharge that may be brownish and resemble prune juice is more common.

Choice A rationale

The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription A based on the information provided.

Choice B rationale

The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription B based on the information provided.

Choice C rationale

The client’s temperature is slightly elevated, which could indicate an infection or other medical condition. Prescription C might be an antibiotic or other medication to treat the suspected condition.

Choice D rationale

The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription D based on the information provided.