A nurse is providing discharge teaching for a client following surgery for a molar pregnancy.
Which of the following client statements indicates an understanding of the discharge teaching?
It's normal to have a fever for a few days following surgery.
I will call my doctor if I experience heavy vaginal bleeding.
I will start trying to get pregnant right away.
I don't have to see my provider until I get pregnant again.
The Correct Answer is B
Choice A rationale
A fever following surgery is not normal and can indicate an infection; hence, this is not a correct statement.
Choice B rationale
Reporting heavy vaginal bleeding to the doctor is appropriate as it can indicate complications such as infection or retained tissue following a molar pregnancy surgery.
Choice C rationale
It is advised to avoid pregnancy for a period after molar pregnancy to ensure hCG levels return to normal and to monitor for gestational trophoblastic disease.
Choice D rationale
Follow-up visits with the provider are crucial after a molar pregnancy to monitor hCG levels and ensure no complications arise, so delaying visits until pregnancy is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Painless, bright red vaginal bleeding at 36 weeks gestation is a classic sign of placenta previa, where the placenta is abnormally implanted in the lower uterine segment, covering the cervix, and causing bleeding without pain.
Choice B rationale
Threatened abortion is characterized by vaginal bleeding before 20 weeks of gestation with or without abdominal pain. At 36 weeks, the term would be inappropriate, and the symptoms do not match.
Choice C rationale
Abruptio placentae involves painful vaginal bleeding due to premature placental separation. The presence of pain differentiates it from placenta previa.
Choice D rationale
Preterm labor may present with contractions, cervical changes, and possible bleeding, but the key feature distinguishing it from placenta previa is the presence of uterine contractions and pain, which are absent in this scenario.
Correct Answer is B
Explanation
Choice A rationale
History of cocaine use increases the risk for placental abruption but is not a direct risk factor for ectopic pregnancy.
Choice B rationale
History of pelvic inflammatory disease (PID) is a significant risk factor for ectopic pregnancy due to the damage and scarring it can cause to the fallopian tubes, leading to implantation outside the uterus.
Choice C rationale
History of three previous cesarean births increases the risk of uterine rupture or placenta previa but not specifically ectopic pregnancy.
Choice D rationale
History of hypertension is not directly related to the risk of ectopic pregnancy; it is more associated with complications like preeclampsia and gestational hypertension.
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