A nurse is caring for a client who might have a hydatidiform mole.
The nurse should monitor the client for which of the following findings?
Whitish vaginal discharge.
Excessive uterine enlargement.
Rapidly dropping human chorionic gonadotropin (hCG) levels.
Fetal heart rate irregularities.
The Correct Answer is B
Choice A rationale
Whitish vaginal discharge is not typically associated with a hydatidiform mole. Instead, it can be a normal finding or related to other conditions.
Choice B rationale
Excessive uterine enlargement is a common sign of a hydatidiform mole, as the abnormal growths cause the uterus to expand more than expected for the gestational age.
Choice C rationale
Rapidly dropping hCG levels are not associated with a hydatidiform mole. In fact, hCG levels are typically abnormally high in cases of a hydatidiform mole due to the overproduction of hCG by the trophoblastic tissue.
Choice D rationale
Fetal heart rate irregularities are not applicable in the case of a complete hydatidiform mole, as there is no viable fetus present.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Rhythmic respirations indicate the client is using controlled breathing techniques to manage labor pain, which demonstrates effective coping. This method helps maintain oxygen levels and can reduce the perception of pain through focused breathing.
Choice B rationale
Crying during labor may indicate emotional distress or pain, suggesting the client might be struggling to cope effectively with labor. While it is a natural response, it is not typically associated with controlled coping mechanisms.
Choice C rationale
Lack of concentration can indicate that the client is overwhelmed by pain or anxiety, which may hinder her ability to use coping strategies effectively. It suggests she might be struggling to manage her labor experience.
Choice D rationale
Perspiration is a common physiological response to the exertion and stress of labor, but it does not specifically indicate how well the client is coping with labor pain or stress. It is a normal part of the labor process but not a clear sign of effective coping.
Correct Answer is D
Explanation
Choice A rationale
A hymenal tag and white discharge on the genitalia are normal findings in newborn females, often due to maternal hormone exposure.
Choice B rationale
Edema on the scalp that crosses suture lines, known as caput succedaneum, is common and typically resolves on its own without intervention.
Choice C rationale
A heart murmur in a newborn can be normal, as many murmurs are benign and resolve as the newborn's circulation adjusts post-birth.
Choice D rationale
A large, deep sacral dimple above the gluteal cleft can be an indication of underlying spinal abnormalities, such as spina bifida, and requires further evaluation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.