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
The recommended time for rubella immunization for a woman who does not have immunity and is in the first trimester of pregnancy is shortly after giving birth. This is because the rubella vaccine is a live vaccine and is not recommended during pregnancy due to the potential risk to the fetus.
Choice B rationale
The rubella vaccine should not be given immediately during pregnancy due to the potential risk to the fetus.
Choice C rationale
While it’s ideal for a woman to be immune to rubella before she gets pregnant, if she finds out during pregnancy that she’s not immune, the vaccine should be given after delivery.
Choice D rationale
The rubella vaccine is not recommended during the third trimester of pregnancy due to the potential risk to the fetus.
Correct Answer is A
Explanation
Choice A rationale
High-absorbency tampons are a known risk factor for toxic shock syndrome (TSS). TSS is a rare, life-threatening complication of certain types of bacterial infections. Often TSS results from toxins produced by Staphylococcus aureus (staph) bacteria, but the condition may also be caused by toxins produced by group A streptococcus (strep) bacteria. The condition is caused due to bacterial toxins from Streptococcus or Staphylococcus infection. Bacteria usually enter the body through openings in the skin such as wounds or cuts. The risk factors include open skin wound, having had recent surgery, using superabsorbent tampons or contraceptive sponges. Therefore, the nurse should include the use of high-absorbency tampons in the teaching as increasing the risk for contracting TSS.
Choice B rationale
Travel to foreign countries is not specifically mentioned as a risk factor for TSS. While traveling can expose individuals to a variety of health risks depending on the destination, it is not directly linked with an increased risk of TSS1234.
Choice C rationale
Mosquito bites are not a known risk factor for TSS. Mosquito bites can transmit certain diseases such as malaria, dengue fever, and Zika virus, but they are not associated with TSS1234.
Choice D rationale
Having multiple sexual partners can increase the risk of sexually transmitted infections, but it is not a known risk factor for TSS. TSS is typically associated with superabsorbent tampon use, skin wounds, and recent surgery.
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