The client is at 6 weeks' gestation, and is spotting. The client had an ectopic pregnancy one year ago. The nurse anticipates that the physician will order
1. A urine pregnancy test.
2. The client to be seen next week for a full examination.
3. A serum pregnancy test.
4. An ultrasound to be done within four weeks.
3
Rationale:
1. Urine pregnancy tests are not quantifiable.
2. A serum quantitative beta hCG test will be performed, and repeated in 48 hours to check for a doubling of the value.
3. A client with a history of an ectopic pregnancy is at risk for another ectopic pregnancy, and spotting is a common symptom of ectopic pregnancy. A serum quantitative beta hCG test will be performed and repeated in 48 hours to check for a doubling of the value.
4. An ultrasound may be used to diagnose an ectopic pregnancy, but would not be needed now.
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