A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

Large amount of vaginal bleeding

Uterine enlargement greater than expected for gestational age

Severe nausea and vomiting

Unilateral, cramp-like abdominal pain

Answer and Explanation

The Correct Answer is D

Choice A reason:

A large amount of vaginal bleeding is not typically associated with an ectopic pregnancy. While some vaginal bleeding can occur, it is usually light and not the primary symptom. Heavy bleeding is more commonly associated with other complications such as miscarriage or placental issues.

Choice B reason:

Uterine enlargement greater than expected for gestational age is not a characteristic of ectopic pregnancy. In fact, the uterus may not enlarge significantly because the pregnancy is occurring outside the uterine cavity. This symptom is more indicative of conditions like molar pregnancy.

Choice C reason:

Severe nausea and vomiting are common symptoms of a normal pregnancy due to hormonal changes but are not specific to ectopic pregnancy. While some women with ectopic pregnancies may experience nausea and vomiting, these symptoms alone are not diagnostic.

Choice D reason:

Unilateral, cramp-like abdominal pain is a hallmark symptom of ectopic pregnancy. This pain typically occurs on one side of the abdomen, corresponding to the location of the ectopic implantation, usually in a fallopian tube. The pain can become severe and is often accompanied by light vaginal bleeding. If the fallopian tube ruptures, the pain can become intense and may be accompanied by signs of internal bleeding, such as dizziness, shoulder pain, and shock.

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Correct Answer is ["C","D"]

Explanation

Choice A reason:

“Small for gestational age” (SGA) refers to babies who are smaller than the typical weight for their gestational age, usually below the 10th percentile. An 8-pound 15-ounce baby born at 35 weeks is not considered SGA because this weight is above the average for that gestational age

Choice B reason:

“Term” refers to babies born between 37 and 42 weeks of gestation. Since the baby in question was born at 35 weeks, they are not considered term.

Choice C reason:

“Preterm” refers to babies born before 37 weeks of gestation. A baby born at 35 weeks falls into this category and is specifically classified as a “late preterm” infant3. Late preterm infants are those born between 34 and 36 weeks of gestation. These babies may require additional medical support compared to full-term infants but generally have better outcomes than those born earlier.

Choice D reason:

“Average for gestational age” (AGA) refers to babies whose weight is within the normal range for their gestational age, typically between the 10th and 90th percentiles. An 8-pound 15-ounce baby born at 35 weeks is considered AGA because this weight is within the expected range for that gestational age.

Choice E reason:

“Post term” refers to babies born after 42 weeks of gestation. Since the baby in question was born at 35 weeks, they are not considered post term.

A. Prepare the newborn for transport to the NICU. B. Call the provider to further assess the newborn. C. Ask another nurse to verify the heart rate. D. Document this as an expected finding.

Correct Answer is D

Explanation

Choice A reason:

Preparing the newborn for transport to the NICU is unnecessary in this scenario. An apical heart rate of 130 beats per minute (bpm) is within the normal range for a newborn, which typically falls between 100 and 170 bpm. Transporting the newborn to the NICU would be appropriate if there were other signs of distress or abnormal findings, but not solely based on a heart rate of 130 bpm.

Choice B reason:

Calling the provider to further assess the newborn is not required in this case. Since the heart rate of 130 bpm is within the normal range for a newborn, there is no immediate need for further assessment by the provider. This action would be more appropriate if the heart rate were outside the normal range or if there were other concerning symptoms.

Choice C reason:

Asking another nurse to verify the heart rate is also unnecessary. The heart rate of 130 bpm is within the expected range for a newborn, so there is no need for additional verification. This step might be taken if there were doubts about the accuracy of the initial measurement or if the heart rate were abnormal.

Choice D reason:

Documenting this as an expected finding is the correct action. A heart rate of 130 bpm is normal for a newborn, and it should be recorded as such in the newborn’s medical records. Proper documentation ensures accurate tracking of the newborn’s health status and helps in monitoring any changes over time.

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A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An 8-pound 15-ounce baby born at 35 weeks’ gestation would be described using which terminology? Select all that apply.

Correct Answer is ["C","D"]

Explanation

A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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