The nurse is returning phone calls from patients. Which patient does the nurse anticipate would not require a serum beta hCG?
1. A patient with a risk of ectopic pregnancy
2. A patient with spotting during pregnancy
3. A patient with previous pelvic inflammatory disease
4. A patient with a previous history of twins
4
Rationale 1: Patients at risk for developing an ectopic pregnancy are those with a history of a previous ectopic pregnancy and of pelvic inflammatory disease.
Rationale 2: Spotting during pregnancy can indicate ectopic pregnancy, although about one third of women with normal pregnancies also experience spotting.
Rationale 3: Patients at risk for developing an ectopic pregnancy are those with a history of a previous ectopic pregnancy and of pelvic inflammatory disease.
Rationale 4: A previous history of twins is not a risk factor for ectopic pregnancy. Beta hCG testing is not indicated for this patient.
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Through testing, a patient learns of a genetic disease that he has inherited from his parents, yet none of his other siblings have inherited the same disease
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