A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

“I will need an amniocentesis within 1 month."

"I will need to attend a support group when I get home."

"I will need to start chemotherapy immediately.

“I will need home palliative services after I am discharged from the hospital"

Answer and Explanation

The Correct Answer is B

A)   Incorrect- An amniocentesis is not typically needed after a molar pregnancy since there is no viable fetus.
B)   Correct - A molar pregnancy is a rare condition where abnormal tissue forms in the uterus instead of a normal embryo. It often requires medical follow-up and emotional support. Attending a support group is important for emotional and psychological healing after the experience of a molar pregnancy.
C)   Incorrect- Chemotherapy might be necessary in certain cases of molar pregnancy, but immediate chemotherapy is not a general requirement.
D)   Incorrect- Home palliative services are not typically needed for molar pregnancy recovery.

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Correct Answer is C

Explanation

A) Incorrect- Terbutaline is a tocolytic medication used to relax uterine muscles and inhibit contractions, not to treat an ectopic pregnancy.
B) Incorrect- Magnesium sulfate is used to prevent seizures in clients with preeclampsia, not to treat ectopic pregnancies.
C) Correct - Methotrexate is often used to treat unruptured ectopic pregnancies in the early stages by inhibiting the growth of trophoblastic tissue.
D) Incorrect- Calcium gluconate is used to treat magnesium toxicity and other conditions related to calcium imbalance, not to treat ectopic pregnancies.

A. "You will have a group B strep culture at 36 weeks of gestation." B. "You will have to produce a clean catch urine specimen every 2 months." C. "You will have a maternal serum alpha-fetoprotein screening at 6 weeks of gestation. D. "You will have a screening for gestational diabetes at 12 weeks of gestation."

Correct Answer is A

Explanation

A) Correct - Group B streptococcus (GBS) screening is typically performed around 36 weeks of gestation to identify colonization. It helps determine whether antibiotic prophylaxis is necessary during labor to prevent transmission to the newborn.
B) Incorrect- Producing a clean catch urine specimen every 2 months is not a standard recommendation during pregnancy. Urine testing is common but does not usually occur this frequently.
C) Incorrect- Maternal serum alpha-fetoprotein screening is typically done around 15-20 weeks of gestation, not 6 weeks.
D) Incorrect- Screening for gestational diabetes typically occurs between 24 and 28 weeks of gestation, not 12 weeks.

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A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about laboratory testing with a client who is at 6 weeks of gestation. Which of the following statements should the nurse include?

Correct Answer is A

Explanation

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