A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light ﬂutering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

Lightening

Chloasma

Ballotement

Quickening

Answer and Explanation

The Correct Answer is D

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Correct Answer is A

Explanation

Hypertension is the most common risk factor for placental abruption, which occurs when the placenta separates from the uterine wall before delivery. Hypertension can cause damage to the blood vessels that supply the placenta, leading to reduced blood ﬂow and increased pressure in the intervillous space. This can cause hemorrhage and detachment of the placenta.

The other options are not as common as hypertension, but they can also increase the risk of placental abruption by causing trauma, vasoconstriction, or inﬂammation in the placenta or uterus.

Maternal batering can cause direct injury to the abdomen or uterus, resulting in placental abruption.

Maternal cigarete smoking can cause vasoconstriction and reduced blood ﬂow to the placenta, as well as increase the risk of thrombosis and inﬂammation in the placental vessels.

d. Maternal cocaine use can cause severe vasoconstriction and hypertension, which can impair placental perfusion and cause placental abruption.

A. Pelvic pain B. Severe nausea and vomiting C. Copious vaginal bleeding D. Uterine enlargement greater than expected for gestational age

Correct Answer is A

Explanation

The nurse should expect the client to have pelvic pain, as this is the most common symptom of an ectopic pregnancy, which occurs when the fertilized ovum implants outside the uterine cavity, usually in the fallopian tube. Pelvic pain can range from mild to severe, and can be unilateral or bilateral, depending on the location and extent of the ectopic pregnancy. Pelvic pain can be caused by tubal distension, rupture, or bleeding.

The other findings are not typical of an ectopic pregnancy and may indicate other conditions.

Severe nausea and vomiting are not common signs of an ectopic pregnancy, but they may occur in any pregnancy due to hormonal changes or other factors. Severe nausea and vomiting may also indicate hyperemesis gravidarum, which is a condition where nausea and vomiting are so severe that they cause dehydration, electrolyte imbalance, and weight loss.
Copious vaginal bleeding is not a usual sign of an ectopic pregnancy, but it may occur if the ectopic pregnancy ruptures and causes hemorrhage. However, copious vaginal bleeding may also indicate other complications such as placenta previa, placental abruption, or spontaneous abortion.
Uterine enlargement greater than expected for gestational age is not a sign of an ectopic pregnancy, but it may indicate a multiple gestation, hydatidiform mole, polyhydramnios, or a large fetus. An ectopic pregnancy usually causes uterine enlargement less than expected for gestational age, as the uterus does not contain a viable pregnancy.

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A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light ﬂutering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?

Correct Answer is A

Explanation

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light ﬂutering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

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