Which finding should be the nurse's priority in a client suspected as having gestational trophoblastic disease?

a. Uterine contractions
b. Nausea and vomiting
c. Blood pressure of 130/80 mm Hg
d. Increase discharge of vaginal mucus


ANS: A
Uterine contractions can cause trophoblastic tissue to be pulled into large venous sinusoids in the uterus, resulting in embolization of the tissue and respiratory distress. Nausea and vomiting and blood pressure of 130/80 mm Hg represent no immediate danger to the client and can be addressed later. Increased discharge of vaginal mucus is a normal finding in pregnancy.

Nursing

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