A client is suspected of having a hydatidiform mole. What should the nurse expect to assess in this client? Select all that apply
1. Elevated blood pressure
2. Absence of fetal heart tones
3. Frequent urination and thirst
4. Dark brown vaginal drainage
5. Larger than gestational age fundal height
1, 2, 4, 5
Explanation:
1. Manifestations of preeclampsia are associated with a hydatidiform mole, which would include an elevated blood pressure.
2. Fetal heart sounds are absent with a hydatidiform mole because a fetus is not developing in the uterus.
3. Frequent urination and thirst are not manifestations of hydatidiform mole.
4. Dark brown vaginal discharge, similar to prune juice, occurs because of liquefaction of the uterine clot.
5. Uterine enlargement greater than expected for gestational age is a classic sign of a complete mole, which is present in about half of cases. Enlargement is due to the proliferating trophoblastic tissue and to a large amount of clotted blood.
You might also like to view...
Lincoln has an autoimmune disorder. Discuss medication treatment for autoimmune disorders and nursing management for Lincoln
What will be an ideal response?
What was the most significant impact on the profession of nursing made by Mary Breckenridge in her role as a frontier nurse?
a. She demonstrated that nurses could provide primary care in rural settings. b. She demonstrated that female nurses could protect themselves in unsettled rural environments. c. She demonstrated that nurses were capable of teaching new mothers to care for babies. d. She demonstrated that nurses could provide care to many clients despite geographic boundaries.
In Ayurvedic medicine, treatment is based on the patient's dominant dosha, which is referred to as the person's:
1. Vata 2. Pitta 3. Kapha 4. Prakriti
A client has had a cerebrovascular accident affecting one brain hemisphere. According to the electronic medical record nursing care plan, the client has had damage to the Broca's area of the cerebrum
Based on this information, which aspects of speech and language can the nurse anticipate occurring when entering the client's room? 1 . Damage impairs ability to comprehend written language. 2 . Damage impairs ability to comprehend spoken language. 3 . Damage causes speech impairment. 4 . Individual is able to speak. 5 . Individual language comprehension is not affected. A) 1, 2 B) 2, 3 C) 3, 5 D) 2, 5