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Uterine enlargement greater than expected is typical of a normal intrauterine pregnancy, as the uterus grows to accommodate the developing fetus. In ectopic pregnancy, the uterus may remain small because implantation occurs outside the uterine cavity.

Severe nausea and vomiting are common in normal early pregnancy due to hormonal changes, but they are not specific indicators of ectopic pregnancy.

Vaginal bleeding in ectopic pregnancy is usually light, often described as spotting, and may be accompanied by abdominal pain. A large amount of bleeding is less common unless tubal rupture occurs, which represents a medical emergency requiring immediate intervention.

Administering the medication several hours late violates the Right Time. Medications must be given as prescribed to maintain therapeutic levels and prevent under- or overdosing.

Giving a medication that “looks similar” violates the Right Medication. Nurses must ensure the drug name, dose, and formulation exactly match the provider’s order.

Delaying documentation violates the Right Documentation. Accurate and timely recording is essential for safety and continuity of care.

Monitoring vaginal bleeding is important, but establishing immediate access for fluid resuscitation or blood transfusion takes priority in case of sudden hemorrhage.

Administering glucocorticoids may be indicated to promote fetal lung maturity if preterm delivery is anticipated, but this is secondary to ensuring maternal safety.

Applying an external fetal monitor helps assess fetal status, but it does not address the immediate risk of maternal hemorrhage, making it a lower priority than establishing IV access.

Arterial blood gas analysis evaluates oxygenation, ventilation, and acid-base balance, but it does not indicate infection or inflammation.

Gastric lavage is used to remove ingested substances from the stomach, not to detect infection or inflammatory processes.

Blood cultures are used to identify the specific pathogen causing an infection but do not measure the general presence of an inflammatory process.

Returning to school solely based on a normal temperature is insufficient because the child can still spread the virus if lesions are not crusted.

Waiting until lesions have completely faded is unnecessary; contagion risk ends when lesions are crusted over.

The timing of 10 days after onset is variable and not a reliable indicator of non-contagiousness, as lesion progression differs among children.

Squeezing the stinger can force additional venom from the venom sac into the skin, increasing pain, swelling, and the risk of a more severe local or systemic reaction.

Washing the area with soap and water is important to reduce the risk of infection, but applying heat to “help the stinger move out” is not effective and could irritate the skin.

Leaving the stinger in place allows continued venom release, which can prolong swelling, redness, pain, and increase the risk of systemic reactions, particularly in children sensitive to bee venom.

Notifying the physician for itching is not necessary unless signs of secondary infection or worsening symptoms occur.

Keeping the child home until lesions are fully healed is unnecessary and can prolong absence from school. Antibiotic treatment effectively reduces contagion before complete healing.

Vigorous cleaning with Betadine is not recommended, as harsh scrubbing can irritate the skin and worsen the lesions. Gentle cleansing and application of prescribed topical or systemic antibiotics are preferred.

Two veins and one artery is an abnormal configuration. This pattern is not consistent with normal fetal circulation and may indicate a congenital anomaly.

One artery and one vein (single umbilical artery) is a known variation, but it is considered abnormal and can be associated with renal, cardiac, or chromosomal anomalies.

Two arteries and two veins is not a typical configuration and may suggest a congenital anomaly or cord malformation.

Intermittent abdominal pain following bloody mucus (showing “bloody show”) is more typical of labor onset, not placenta previa.

Abdominal pain with scant bleeding may suggest placental abruption rather than placenta previa.

Increasing abdominal pain with a firm, nonrelaxed uterus is characteristic of placental abruption, not placenta previa.