What finding on a prenatal visit at 10 weeks could suggest a hydatidiform mole?
a. Complaint of frequent mild nausea
b. Blood pressure of 120/80 mm Hg
c. Fundal height measurement of 18 cm
d. History of bright red spotting for 1 day, weeks ago
ANS: C
The uterus in a hydatidiform molar pregnancy is often larger than would be expected on the basis of the duration of the pregnancy. Nausea increases in a molar pregnancy because of the increased production of hCG. A woman with a molar pregnancy may have early-onset pregnancy-induced hypertension. In the patient's history, bleeding is normally described as brownish.
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The nurse concludes that the best way to avoid a lawsuit is to:
a. carry malpractice insurance. b. spend time with the patient. c. provide compassionate, competent care. d. answer all call lights quickly.
What is a goal of a patient with the following nursing diagnosis: Imbalanced Nutrition: Less Than Body Requirements related to diet choices inadequate to meet nutrient requirements of pregnancy?
a. Gain a total of 30 lb. b. Take daily supplements consistently. c. Decrease intake of snack foods. d. Increase intake of complex carbohydrates.
The nurse is evaluating arterial blood gas results. What condition can cause an increase in PCO2?
a. Hypoxia b. Hyperventilation c. Pulmonary embolism d. Obstructive lung disease
Expressive aphasia relates to:
a. Difficulty sending out thoughts b. Problems with thinking and reasoning c. Difficulty understanding language d. Difficulty using the muscles needed for speech