The client who is at 5 weeks gestation is seen in the Emergency Department with complaints of severe abdominal and pelvic pain. A vaginal examination reveals tenderness and a palpable mass near the uterus
Based upon your knowledge, which of the following can the nurse anticipate will take place first? 1. The client will be sent home on bed rest.
2. The client will be admitted to the acute care facility for observation.
3. The client will be evaluated in the labor and delivery department with a nonstress test.
4. An ultrasound will be ordered.
4
Rationale 1: The client is presenting with manifestations consistent with an ectopic pregnancy. Sending the client home and placing her on bed rest without completing a thorough evaluation may result in harm to the client.
Rationale 2: The client is presenting with manifestations consistent with an ectopic pregnancy. The findings from the ultrasound will determine the next steps in the client's care.
Rationale 3: The client is presenting with manifestations consistent with an ectopic pregnancy. The client's gestational age is not yet advanced enough to utilize a nonstress test for evaluation.
Rationale 4: The client is presenting with manifestations consistent with an ectopic pregnancy. The ultrasound will be used to assist in confirming the condition.
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