A nurse is providing discharge teaching for a client following surgery for a molar pregnancy.
Which of the following client statements indicates an understanding of the discharge teaching?
It's normal to have a fever for a few days following surgery.
I will call my doctor if I experience heavy vaginal bleeding.
I will start trying to get pregnant right away.
I don't have to see my provider until I get pregnant again.
The Correct Answer is B
Choice A rationale
A fever following surgery is not normal and can indicate an infection; hence, this is not a correct statement.
Choice B rationale
Reporting heavy vaginal bleeding to the doctor is appropriate as it can indicate complications such as infection or retained tissue following a molar pregnancy surgery.
Choice C rationale
It is advised to avoid pregnancy for a period after molar pregnancy to ensure hCG levels return to normal and to monitor for gestational trophoblastic disease.
Choice D rationale
Follow-up visits with the provider are crucial after a molar pregnancy to monitor hCG levels and ensure no complications arise, so delaying visits until pregnancy is incorrect.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
2 units is insufficient to bring down a blood sugar level of 152 mg/dL adequately. According to the sliding scale, 2 units typically lower blood sugar by 50-60 mg/dL, which might not be enough for this level.
Choice B rationale
3 units might reduce blood sugar by approximately 75-90 mg/dL. However, this reduction may not be adequate to bring the blood sugar level within the target range, depending on individual response to insulin.
Choice C rationale
4 units of insulin are suitable for a blood sugar level of 152 mg/dL. Generally, 1 unit of insulin lowers blood sugar by 30-50 mg/dL. Administering 4 units should ideally lower the blood sugar level to the desired range.
Choice D rationale
5 units of insulin could result in an excessive drop in blood sugar levels. It could reduce the blood sugar level by 150-200 mg/dL, which might risk hypoglycemia, making it an unsuitable choice for a blood sugar level of 152 mg/dL.
Correct Answer is D
Explanation
Choice A rationale
An occult cord prolapse occurs when the umbilical cord is hidden but not necessarily within the vagina. It is often compressed alongside the fetus, causing a risk for decreased oxygenation.
Choice B rationale
An occult prolapsed cord is not characterized by being wrapped around the fetal neck; that condition is known as a nuchal cord.
Choice C rationale
A compound prolapsed cord does not involve the cord being felt through the cervix inside an intact amniotic sac. Instead, it involves the cord alongside the fetal presenting part.
Choice D rationale
An overt prolapsed cord occurs when the umbilical cord comes through the cervix ahead of the presenting part, posing significant risk due to potential cord compression and interruption of blood flow to the fetus.
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