The physician suspects that the client may have gestational trophoblastic disease. Which clinical manifestations support this diagnosis? (Select all that apply.)
a. Increased levels of beta-hCG in the serum
b. Fundal height correlating with reported gestational age
c. Vaginal bleeding
d. Vomiting
e. Maternal hypotension
ANS: A, C, D
In gestational trophoblastic disease (molar pregnancy), the following clinical manifestations would appear: increased serum beta-hCG levels, increased size of the uterus related to gestational age, nausea and vomiting, and evidence of vaginal bleeding. Development of preeclampsia earlier in the pregnancy would be noted, resulting in hypertension, not hypotension.
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During a conversation with the nurse, a patient comments that he rarely goes outside when the sun is shining because he is afraid of developing skin cancer. Which health problem is this patient at risk for developing?
1. vitamin D deficiency 2. hypercholesterolemia 3. hypokalemia 4. hypernatremia
Pathological similarities and differences between acute pain and chronic pain include:
1. Both have decreased levels of endorphins. 2. Chronic pain has a predominance of C-neuron stimulation. 3. Acute pain is most commonly associated with irritation of peripheral nerves. 4. Acute pain is diffuse and hard to localize.
The nurse in the pediatric clinic measures a 9-year-old child's height and finds that the child has grown 4 inches in 1 year
The nurse will discuss this increase in height with the caregivers, keeping in mind that an increase of 4 inches in 1 year, when compared to the usual increase for a school-aged child, is: a. just below average c. slightly above average b. average d. double the average
A maternal indication for the use of vacuum extraction is:
a. A wide pelvic outlet. c. A history of rapid deliveries. b. Maternal exhaustion. d. Failure to progress past 0 station.