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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Based on your last menstrual period (LMP) of May 4, 2022, your estimated date of delivery (EDD) would be around February 11, 2023."

Rationale:

Calculating the Estimated Date of Delivery (EDD): The EDD can be calculated using Naegele's Rule, which is a standard method used to estimate the due date. The rule involves subtracting three months from the first day of the last menstrual period (LMP), adding seven days, and adjusting the year if necessary.
Application of Naegele’s Rule:
- Start with the first day of the LMP: May 4, 2022.
- Subtract three months: February 4, 2022.
- Add seven days: February 11, 2022.
- Since the year needs to be adjusted, the EDD is February 11, 2023.

Key Points:

Naegele’s Rule is commonly used but assumes a 28-day menstrual cycle and ovulation on the 14th day. Variations in cycle length can affect the accuracy.

A. This is a presumptive sign of pregnancy. B. This is a positive sign of pregnancy. C. This is a probable sign of pregnancy. D. This is a possible sign of pregnancy.

Correct Answer is A

Explanation

Choice A rationale

Feeling the baby move, also known as quickening, is a presumptive sign of pregnancy. Presumptive signs are those that suggest a woman could be pregnant, but they’re not definitive. Quickening is often described as a fluttering sensation and is usually felt between 16 and 25 weeks of gestation.

Choice B rationale

Positive signs of pregnancy are those that can only be explained by pregnancy. These include hearing the baby’s heartbeat, visualizing the fetus on ultrasound, and feeling the baby move by a healthcare provider.

Choice C rationale

Probable signs of pregnancy are those that are strongly suggestive of pregnancy but could be caused by other conditions. These include changes in the uterus, changes in the cervix, and positive pregnancy tests.

Choice D rationale

There is no classification of “possible” signs of pregnancy in medical terminology.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2022. Which of the following is the appropriate response by the nurse?

Correct Answer is A

Explanation

Rationale:

Key Points:

A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant because she feels the baby moving.Which of the following statements should the nurse make?

Correct Answer is A

Explanation

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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?