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

Nonprescription medications can still have adverse effects on pregnancy and should be taken only with a healthcare provider's approval. This indicates a need for further teaching about safe medication use during pregnancy.

Choice B rationale

Reducing stress is beneficial during pregnancy and shows an understanding of healthy gestational changes. Stress management can positively impact maternal and fetal health.

Choice C rationale

Monitoring weight gain during pregnancy is important for maternal and fetal health. Appropriate weight gain supports healthy development and reduces the risk of complications.

Choice D rationale

Consulting with a doctor before using home remedies for nausea is a good practice. It ensures that the remedies are safe and appropriate for use during pregnancy.

A. I will tell my pregnant friend to get their shot after they have their baby to be safe. B. My friend had chicken pox as a kid, so they probably don't need this vaccine. C. I'm glad this isn't an annual vaccine like the flu shot. D. I will get my second dose of the vaccine at the pharmacy 12 weeks postpartum.

Correct Answer is C

Explanation

Choice A rationale

Advising a pregnant friend to get the varicella vaccine postpartum is correct as it is a live vaccine not recommended during pregnancy due to potential risks to the fetus.

Choice B rationale

If a person had chickenpox, they likely have immunity, but it's still beneficial to assess for varicella zoster immunity to determine if vaccination is necessary.

Choice C rationale

Varicella vaccine requires two doses, and misunderstanding this indicates a need for further teaching to ensure complete immunization and protection.

Choice D rationale

Planning to get the second dose at the pharmacy 12 weeks postpartum is correct, showing understanding of the vaccination schedule and follow-up care.

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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

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about expected gestational changes with a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

A client who is 1 day postpartum receives a varicella vaccine in the hospital. Which of the following responses indicates that the client will need further teaching about the vaccine?

Correct Answer is C

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?