Lab results reveal that a pregnant woman's human chorionic gonadotropin (hCG) doubling levels are slow. The nurse would plan to increase surveillance for which possibilities?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Cardiac anomalies in the fetus
2. Spontaneous abortion
3. Down syndrome
4. Intrauterine growth retardation
5. Ectopic pregnancy
2,5
Rationale 1: Slow hCG doubling times indicate that other problems may be occurring.
Rationale 2: The hormone hCG is thought to have immunological capacities that protect the embryo from being rejected by the mother. Such rejection would result in spontaneous abortion.
Rationale 3: Down syndrome is not associated with slow hCG doubling times.
Rationale 4: Human placental lactogen is known as the "pregnancy growth hormone." Low levels reduce protein, glucose, and mineral supplies to the fetus.
Rationale 5: Slow hCG doubling times are associated with ectopic pregnancy.
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