Which finding could cause the nurse to suspect gestational trophoblastic disease in a client at 8 weeks' gestation?
a. Blood pressure of 128/70 mm Hg
b. Fundal height of 12 cm
c. Nausea and vomiting
d. Weight gain of 3 pounds
ANS: B
Gestational trophoblastic disease is characterized by proliferation and edema of the chorionic villi. The fluid-filled villi form grapelike clusters of tissue that can rapidly grow to fill the uterus to the size of a more advanced pregnancy. Blood pressure of 128/70 mm Hg, nausea and vomiting, and weight gain of 3 pounds are all normal findings in the first trimester.
You might also like to view...
A 45-year-old female patient complains of nausea, vomiting, fatigue, and weakness. She admits to a history of heroin abuse for 11 years. She quit using the drug after rehabilitation last year and denies current use of the drug
Habits include use of alcohol daily, 4-5 "drinks a day," and tobacco use of 60-pack years. On physical examination, she is non-febrile, has a blood pressure of 148/98, pulse 78, and resps 16/min. The patient has periorbital edema. Lungs are clear to auscultation. Abdomen is non-tender and distended w/ mild hepatomegaly. No neurologic deficits. Laboratory testing reveals Hgb 10, BUN of 60, potassium 6.1, and serum creatinine 2.9 mg/dL. These findings are characteristic of: A. Chronic renal failure B. Dehydration C. Congestive heart failure D. Liver failure
An adolescent believes that people from the Bronx are stupid. What does this type of belief represent?
A) Group analysis B) Definitive analysis C) Ethnocentrism D) Stereotyping
Luteinizing hormone (LH) stimulates the ovary to release the ovum. This point in the menstrual cycle is called:
a. menstruation c. fertilization b. implantation d. ovulation
_______________________means that nurses must first have a basic knowledge of culturally diverse customs and then demonstrate constructive attitudes based on that knowledge. :
a. Ethical codes b. Giving culturally sensitive care c. Having power d. ANA Code of Ethics e.