A nurse is caring for a client who is pregnant. The nurse is reviewing the client's medical record.

Exhibits

Select 4 findings that indicate a potential prenatal complication

Rationale:

A. "Every so often, I think about whether or not to have this surgery.": This statement suggests the client is still ambivalent or uncertain, which means informed consent has not yet been fully achieved. Clients must be sure and fully informed before agreeing to proceed.

B. "I will talk with the doctor about my surgery when I get into the operating room.": Informed consent must be obtained well before the procedure begins. Waiting until the operating room is inappropriate, as the client may be under stress or sedation.

C. "Can you tell me more about the surgery I am having?": This indicates the client lacks essential information about the procedure. Informed consent requires that the client already understand the nature, risks, benefits, and alternatives before signing.

D. "Signing this form indicates that I give my permission for the surgery, right?": This reflects an understanding that the consent form gives legal authorization for the procedure. It shows the client knows their signature confirms informed agreement to the surgery.

Rationale:

A. Bradycardia: Ectopic pregnancy is more likely to cause tachycardia due to internal bleeding and hypovolemia from tubal rupture. Bradycardia is not a typical finding and would suggest a different or more advanced issue.

B. Hypertension: Hypotension, not hypertension, may occur in cases of significant bleeding from a ruptured ectopic pregnancy. Elevated blood pressure is not a hallmark sign of this condition.

C. Hydramnios: Hydramnios refers to excessive amniotic fluid and is associated with fetal anomalies or maternal diabetes. It is unrelated to ectopic pregnancy, where implantation occurs outside the uterine cavity.

D. Abdominal pain: Sharp or stabbing abdominal or pelvic pain is a classic symptom of ectopic pregnancy. It may be accompanied by vaginal bleeding and referred shoulder pain if internal bleeding irritates the diaphragm.