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 B
Explanation
Choice A rationale
Checking the client's temperature every 4 hours is important to monitor for infection but is not the primary action during the active phase of labor following an amniotomy.
Choice B rationale
Encouraging the client to empty the bladder every 2 hours helps prevent bladder distention, which can impede the descent of the baby and contribute to labor progress.
Choice C rationale
Bearing down with each contraction is advised during the second stage of labor, not the active phase of the first stage.
Choice D rationale
Maintaining the client in the lithotomy position is not necessary throughout labor and can be uncomfortable; mobility and changing positions are encouraged.
Correct Answer is B
Explanation
Choice A rationale
One parity indicates one delivery at a viable gestational age, which is not accurate for this client.
Choice B rationale
Two parity is correct as the client has delivered twins (considered one parity) at 36 weeks, which counts as one delivery at a viable gestational age.
Choice C rationale
Three parity is incorrect because the previous pregnancies did not result in three separate viable deliveries.
Choice D rationale
Four parity is incorrect as the client’s history includes one viable delivery (twins) and does not account for four separate viable births. .
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