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.

Answer and Explanation

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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Correct Answer is A

Explanation

Choice A rationale

0.2 mg is the appropriate transcription as it avoids trailing zeros and clearly indicates the dosage, reducing the risk of overdose.

Choice B rationale

0.20 mg is incorrect because the trailing zero could be misinterpreted as 20 mg, leading to a dangerous overdose.

Choice C rationale

2 mg is incorrect as it represents a tenfold overdose of the intended dosage, potentially resulting in serious harm.

Choice D rationale

0.02 mg is incorrect as it represents a tenfold underdose of the intended dosage, potentially resulting in insufficient therapeutic effect. .

A. The client is Rh positive and the newborn is Rh positive. B. The client is Rh positive and the newborn is Rh negative. C. The client is Rh negative and the newborn is Rh negative. D. The client is Rh negative and the newborn is Rh positive.

Correct Answer is D

Explanation

Choice A rationale

Rh positive clients with Rh positive newborns do not require Rho(D) immune globulin because there is no risk of Rh incompatibility.

Choice B rationale

If both the client and the newborn are Rh positive, Rho(D) immune globulin is not needed since there is no risk of the client developing antibodies against Rh positive cells.

Choice C rationale

Rh negative clients with Rh negative newborns also do not require Rho(D) immune globulin since there is no Rh positive blood to cause an immune response.

Choice D rationale

Rh negative clients with Rh positive newborns need Rho(D) immune globulin to prevent the client from developing antibodies against Rh positive blood, which could affect future pregnancies.

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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?

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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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?