The client who is at 5 weeks' gestation presents in the emergency department (ED) 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 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.
Correct Answer: 4
The client is presenting with manifestations consistent with an ectopic pregnancy. The ultrasound will be used to assist in confirming the condition. Sending the client home without a thorough evaluation could result in rupture of the ectopic and place the client at great risk. Observation may be indicated if the ectopic pregnancy is ruled out. The client's gestational age is not yet advanced enough to utilize a nonstress test for evaluation.
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