A nurse is caring for a patient suspected of having an ectopic pregnancy at 8 weeks of gestation.
Which symptoms should the nurse expect to identify as consistent with the diagnosis?
Large amount of vaginal bleeding.
Severe nausea and vomiting.
Uterine enlargement greater than expected for gestational age.
Unilateral, cramp-like abdominal pain.
The Correct Answer is D
Choice D rationale
Unilateral, cramp-like abdominal pain. This is a common symptom of an ectopic pregnancy. The pain usually starts on one side of the abdomen after the early stages of pregnancy and may be accompanied by spotting or vaginal bleeding.
Choice A rationale
Large amount of vaginal bleeding. While vaginal bleeding can occur in an ectopic pregnancy, it’s usually light to moderate, not large. Heavy vaginal bleeding is more commonly associated with miscarriage or other conditions.
Choice B rationale
Severe nausea and vomiting. While some women with an ectopic pregnancy may experience nausea and vomiting, these symptoms are common in early pregnancy and are not specific to ectopic pregnancy.
Choice C rationale
Uterine enlargement greater than expected for gestational age. This is not a typical symptom of an ectopic pregnancy. In fact, because the pregnancy is not in the uterus, the size of the uterus may be smaller than expected for the gestational age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Urinary frequency is a common early symptom of pregnancy. It’s caused by an increase of the hormones progesterone and human chorionic gonadotropin (hCG). The urges tend to reduce in the second trimester. Most women find they have to pee with even more frequency late in pregnancy, from about week 35 on. Near the end of the third trimester, when your baby is preparing for childbirth, the head “drops” down into the pelvis and presses squarely on your bladder — which means you’ll have that gotta-go urge more than ever.
Choice B rationale
While it’s true that urinary frequency can reduce after the first trimester, it’s not accurate to say that it only lasts until the 12th week for most cases. It’s also not entirely dependent on bladder tone. The frequency of urination during pregnancy is primarily due to hormonal changes and the growing uterus putting pressure on the bladder.
Choice C rationale
Although the duration of urinary frequency can vary among individuals, it’s not accurate to say that there’s no way to predict how long it will last in each individual client. Generally, urinary frequency is common during the first trimester and tends to reduce in the second trimester, only to increase again around week 352.
Choice D rationale
Labeling urinary frequency as a “minor inconvenience” that should be ignored is not an appropriate response. It’s important to validate the client’s experiences and provide accurate information. Urinary frequency is a normal part of pregnancy due to increased hormones and pressure on the bladder from the growing uterus.
Correct Answer is C
Explanation
Choice C rationale
Phenylketonuria (PKU) is a metabolic disorder that results in decreased metabolism of the amino acid phenylalanine. High levels of phenylalanine can lead to intellectual disability and other serious health problems. Foods high in protein, such as peanut butter, contain high levels of phenylalanine and should be avoided by individuals with PKU34.
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