A nurse is caring for a client who might have a hydatidiform mole.
The nurse should monitor the client for which of the following findings?
Whitish vaginal discharge.
Excessive uterine enlargement.
Rapidly dropping human chorionic gonadotropin (hCG) levels.
Fetal heart rate irregularities.
The Correct Answer is B
Choice A rationale
Whitish vaginal discharge is not typically associated with a hydatidiform mole. Instead, it can be a normal finding or related to other conditions.
Choice B rationale
Excessive uterine enlargement is a common sign of a hydatidiform mole, as the abnormal growths cause the uterus to expand more than expected for the gestational age.
Choice C rationale
Rapidly dropping hCG levels are not associated with a hydatidiform mole. In fact, hCG levels are typically abnormally high in cases of a hydatidiform mole due to the overproduction of hCG by the trophoblastic tissue.
Choice D rationale
Fetal heart rate irregularities are not applicable in the case of a complete hydatidiform mole, as there is no viable fetus present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Heparin therapy increases the risk of bleeding and bruising. Notifying the provider about any unusual bruising is crucial for monitoring and managing potential complications.
Choice B rationale
Taking aspirin while on heparin is not recommended because aspirin is an antiplatelet agent that can increase the risk of bleeding, compounding the effects of heparin.
Choice C rationale
Temporary diarrhea is not a common side effect of heparin. Heparin's primary side effects are related to bleeding and thrombocytopenia, not gastrointestinal issues.
Choice D rationale
Increased urination is not a recognized side effect of heparin. Common side effects involve bleeding rather than changes in urinary patterns.
Correct Answer is A
Explanation
Choice A rationale
Duchenne-Erb (Erb's) palsy is a type of brachial plexus injury that commonly results in an absent Moro reflex on the affected side, an extended arm at the elbow, and decreased grasp. These symptoms arise from injury to the fifth and sixth cervical nerves, leading to motor deficits.
Choice B rationale
This describes facial nerve palsy, not Erb's palsy. Facial nerve palsy affects the muscles of the face, leading to asymmetry during crying and drooping of the mouth's corner on the affected side.
Choice C rationale
While asymmetry of the Moro reflex is accurate, this choice incorrectly states that the arm is externally rotated and the grasp reflex is absent, which aligns more with a total brachial plexus injury rather than Erb's palsy.
Choice D rationale
Crepitus, no movement, swelling, and tenderness on palpation are indicative of a fracture rather than Erb's palsy. These symptoms suggest bone injury rather than nerve damage.
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