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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Recessive disorders do not manifest in every subsequent generation. They appear only when an individual inherits two copies of the recessive gene, one from each parent, making them less frequent in the population.
Choice B rationale
Single gene disorders are not collectively prevalent; they are relatively rare. They are caused by mutations in a single gene and are not always detectable without specific genetic testing.
Choice C rationale
Genetic disorders are not always passed down from one's biological predecessors. Some genetic disorders arise from new mutations that occur during the formation of eggs or sperm, or early in embryonic development.
Choice D rationale
Single gene disorders can indeed be traced through genetic lineage. By analyzing family histories and genetic testing, these disorders can often be identified and tracked across generations.
Correct Answer is D
Explanation
Choice A rationale
Heavy lochia alba is an incorrect choice as lochia alba typically occurs after 10 days postpartum and is characterized by a whitish or yellowish discharge, not red.
Choice B rationale
Heavy lochia rubra is an incorrect choice because lochia rubra is characterized by bright red bleeding but heavy lochia would involve saturation of the pad within an hour, which is not the case here.
Choice C rationale
Moderate lochia serosa is incorrect because lochia serosa is typically pink or brown and occurs from approximately day 4 to day 10 postpartum, not red.
Choice D rationale
Scant lochia rubra is correct as the client is 3 days postpartum with red lochia measuring 2 cm on the pad, which indicates a small amount of bleeding consistent with scant lochia rubra.
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