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
The primary role of the nurse in genetic counseling is to provide support and answer any Questions the client may have, helping them to understand the information and make informed decisions.
Choice B rationale
While discussing testing risks and benefits is important, it is usually the role of the genetic counselor or physician to explain these aspects comprehensively. The nurse supports this process but does not typically lead it.
Choice C rationale
Performing tests and analyzing results are tasks that are typically carried out by specialized laboratory personnel or geneticists, not the nurse. The nurse's role is supportive rather than diagnostic.
Choice D rationale
The nurse may assist during a provider's consult, but this is not the primary role. The main role focuses on supporting the client through the counseling process and ensuring they understand and can make informed decisions.
Correct Answer is D
Explanation
Choice A rationale
The client will be positioned in a prone position is incorrect because the prone position is not used for fetal anatomy ultrasounds.
Choice B rationale
The ultrasound will occur at 13 weeks of gestation is incorrect as the typical timing for a detailed fetal anatomy scan is around 18-22 weeks of gestation, not 13 weeks.
Choice C rationale
The ultrasound will be transvaginal is incorrect because at 20 weeks of gestation, a transabdominal ultrasound is more commonly used rather than a transvaginal one.
Choice D rationale
The client must have a full bladder is correct because a full bladder helps lift the uterus out of the pelvis, providing a clearer view during the ultrasound.
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