A nurse is attending to an antepartum client whose lab results show a negative rubella titer.
What is the correct interpretation of this data?

The correct answer is choice a. Excessive uterine enlargement.

Choice A rationale:

Hydatidiform mole, also known as a molar pregnancy, often presents with excessive uterine enlargement. This is due to the abnormal growth of trophoblastic tissue, which can cause the uterus to be larger than expected for gestational age.

Choice B rationale:

An irregular fetal heart rate is not typically associated with a hydatidiform mole because there is usually no viable fetus present in this condition.

Choice C rationale:

A rapid decline in human chorionic gonadotropin (hCG) levels is not expected. Instead, hCG levels are usually abnormally high due to the trophoblastic tissue proliferation.

Choice D rationale:

Profuse, clear vaginal discharge is not a characteristic finding of a hydatidiform mole. Instead, vaginal bleeding or discharge that may be brownish and resemble prune juice is more common.

Choice A rationale

While it might seem helpful to offer to tell the parents for the client, it’s important to respect the client’s autonomy and confidentiality. The nurse should support the client in making their own decisions about disclosure.

Choice B rationale

It’s not necessarily true that the parents will have to be told why the client is being admitted. Confidentiality is a key aspect of healthcare, especially when it comes to sensitive issues like sexually transmitted infections.

Choice C rationale

This response is empathetic and non-judgmental. It acknowledges the client’s feelings and opens up a conversation without forcing any action. This allows the client to feel heard and supported, which is crucial in a healthcare setting.

Choice D rationale

While this response might be well-intentioned, it assumes that the parents will understand and doesn’t acknowledge the client’s fear or concern. It’s important for the nurse to validate the client’s feelings and provide support.