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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

The symptoms described do not typically align with conditions that would be treated with Prescription A. Prescription A might be used for a different set of symptoms or conditions.

Choice B rationale

The presence of small pinpoint open vesicles and pustules on the labia majora with clear drainage, along with a thick, mucopurulent vaginal discharge, could indicate a sexually transmitted infection or other type of infection. Prescription B might be an antibiotic or antiviral medication to treat the suspected infection.

Choice C rationale

The symptoms described do not typically align with conditions that would be treated with Prescription C. Prescription C might be used for a different set of symptoms or conditions.

Choice D rationale

The symptoms described do not typically align with conditions that would be treated with Prescription D. Prescription D might be used for a different set of symptoms or conditions.

A. 2-0-2-2-0 B. 4-2-0-2-2 C. 4-0-1-2-2 D. 3-0-2-0-2

Correct Answer is C

Explanation

GTPAL calculation:

Step 1 is: Determine Gravida (G) = 4 pregnancies (1 elective abortion, 1 twin birth, 1 spontaneous abortion, 1 current pregnancy) = G4.

Step 2 is: Determine Term (T) births = 0 (no pregnancies reached 37 weeks).

Step 3 is: Determine Preterm (P) births = 1 (twin birth at 36 weeks) = P1.

Step 4 is: Determine Abortion (A) = 2 (1 elective abortion at 9 weeks, 1 spontaneous abortion at 15 weeks) = A2.

Step 5 is: Determine Living (L) children = 2 (twins) = L2.

The GTPAL status is: G4 T0 P1 A2 L2.

View Question and Answer

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

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

Correct Answer is B

Explanation

Correct Answer is C

Explanation

During a care conference, a nurse shares the latest research on improving breastfeeding success for first-time mothers. Which Quality and Safety Education for Nurses competency does this action support?

A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and is at risk for placental abruption.Which of the following is the most common risk factor for abruption?

During the initial prenatal visit, a nurse is educating a client.Which statement from the client suggests that further clarification is needed?

A nurse is caring for a client during the first trimester of pregnancy.After reviewing the client’s blood work, the nurse notices she does not have immunity to rubella.When is the recommended time for rubella immunization?

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?

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia.Which statement should the nurse make?

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?