A G2P1 pregnant patient presents in clinic for her 10-week prenatal visit. Which of the following findings could indicate a hydatidiform mole?

Frequent mild nausea in the morning upon rising.

Fundal height measurement of 20cm.

Increased fatigue during the day the past few weeks.

Maternal blood pressure of 126/82.

Answer and Explanation

The Correct Answer is B

Hydatidiform mole is a rare complication of pregnancy that occurs when the placenta develops into an abnormal mass of cysts rather than a healthy placenta. Signs and symptoms of molar pregnancy may include vaginal bleeding during the first trimester of pregnancy, unusually high levels of hCG, and a uterus that is larger than expected for the gestational age. Hyperemesis gravidarum is also common.

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Correct Answer is A

Explanation

In the case of a prolapsed umbilical cord, the first priority intervention is to relieve pressure on the cord. Placing the woman in the knee-chest position or Trendelenburg position with the hips elevated is the best way to achieve this. This position helps to reduce the compression of the cord and improve fetal oxygenation.
Option B is incorrect because while oxygen may be necessary, relieving pressure on the cord is the priority.
Option C is incorrect because a vaginal birth should not proceed with a prolapsed umbilical cord, as it can cause cord compression and fetal distress.
Option D is incorrect because covering the cord in sterile gauze soaked in saline is not a priority intervention and may not be effective in relieving pressure on the cord.

A. Verify the patient's blood type and prepare RhoGAM † necessary. B. Have the patient ambulate before the procedure to see if the baby will turn. C. Have the patient empty her bladder before the procedure. D. Assess for contractions and fetal heart rate pattern before the procedure.

Correct Answer is B

Explanation

The patient should not be ambulating before the procedure as this may cause fetal descent and prevent the success of the version. The other interventions listed are appropriate and important for the safety and well-being of the patient and the fetus during the procedure.

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A G2P1 pregnant patient presents in clinic for her 10-week prenatal visit. Which of the following findings could indicate a hydatidiform mole?

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Naxlex Comprehensive Predictor Exams

A pregnant woman's amniotic membranes rupture and a prolapsed umbilical cord is found. What intervention would be the first priority?

Correct Answer is A

Explanation

The nurse is caring for a term gestation pregnant patient who came into the office for an external cephalic version. Which of the following interventions would not be appropriate for this patient?

Correct Answer is B

Explanation

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