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 B
Explanation
Choice A rationale
Gestational hypertension is diagnosed when high blood pressure develops after 20 weeks of pregnancy without other symptoms of preeclampsia, such as proteinuria or end-organ dysfunction.
Choice B rationale
Preeclampsia with severe features includes high blood pressure, proteinuria, and symptoms like blurred vision and headaches. These indicate severe disease, which can endanger both the mother and the fetus if left untreated.
Choice C rationale
Preeclampsia without severe features involves high blood pressure and proteinuria but without the additional severe symptoms like blurred vision and headache.
Choice D rationale
Chronic hypertension refers to high blood pressure that was present before pregnancy or diagnosed before 20 weeks of gestation. It does not typically present with acute symptoms like blurred vision and headache that develop suddenly.
Correct Answer is A
Explanation
Choice A rationale
Duchenne-Erb (Erb's) palsy is a type of brachial plexus injury that commonly results in an absent Moro reflex on the affected side, an extended arm at the elbow, and decreased grasp. These symptoms arise from injury to the fifth and sixth cervical nerves, leading to motor deficits.
Choice B rationale
This describes facial nerve palsy, not Erb's palsy. Facial nerve palsy affects the muscles of the face, leading to asymmetry during crying and drooping of the mouth's corner on the affected side.
Choice C rationale
While asymmetry of the Moro reflex is accurate, this choice incorrectly states that the arm is externally rotated and the grasp reflex is absent, which aligns more with a total brachial plexus injury rather than Erb's palsy.
Choice D rationale
Crepitus, no movement, swelling, and tenderness on palpation are indicative of a fracture rather than Erb's palsy. These symptoms suggest bone injury rather than nerve damage.
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