A client who is 11 weeks pregnant presents to the emergency room with complaints of dizziness, lower abdominal pain, and right shoulder pain. Laboratory tests reveal a beta-hCG at a lower than expected level for this gestational age.
An adnexal mass is palpable. Ultrasound confirms no intrauterine gestation. The client is crying, and asks what is happening. The nurse knows that the most likely diagnosis is an ectopic pregnancy. Which statement should the nurse include? A. The dizziness you feel is because the pregnancy is compressing your vena cava.
B. The pain is due to the baby putting pressure on nerves internally.
C. The baby is in the fallopian tube; the tube has ruptured and is causing bleeding.
D. This is a minor problem. The doctor will be right back to explain it to you.
Question 2
A woman is 16 weeks pregnant. She has had cramping, backache, and mild bleeding for the past three days. Her physician determines that her cervix is dilated to 2 centimeters, with 10 effacement, but membranes are still intact.
She is crying, and says to the nurse, Is my baby going to be okay? In addition to acknowledging the client's fear, the nurse should also say: A. Your baby will be fine. Don't worry. We'll start an IV, and get this stopped in no time at all.
B. Your cervix is beginning to dilate. That is a serious sign. We will continue to monitor you and the baby.
C. You are going to miscarry. But most miscarriages are the result of abnormalities in the fetus.
D. I really can't say. However, when your physician comes, you can ask her to talk to you about it.
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