A client at 18 weeks' gestation has been diagnosed with a ...

[ereecah]

A client at 18 weeks' gestation has been diagnosed with a hydatidiform mole.
 
  In addition to vaginal bleeding, which signs or symptoms would the nurse expect to see? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Hyperemesis gravidarum
  2. Diarrhea and hyperthermia
  3. Uterine enlargement greater than expected
  4. Polydipsia
  5. Vaginal bleeding

Question 2

The nurse is working with a woman who abuses stimulants. The nurse is aware that the fetus is at risk for: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. Withdrawal symptoms.
  2. Cardiac anomalies.
  3. Sudden infant death syndrome.
  4. Being small for gestational age.
  5. Fetal alcohol syndrome.

[tanna.moeller]

Answer to Question 1

1, 3, 5
Explanation: 1. This is often seen in clients with hydatidiform mole.
3. This is a classic sign of hydatidiform mole.
5. This is a classic symptom of hydatidiform mole.

Answer to Question 2

1,2,3,4
Rationale 1: Infants born to mothers who abuse stimulants such as amphetamines can have withdrawal symptoms.
Rationale 2: Infants born to mothers who abuse stimulants such as cocaine can be born with cardiac anomalies.
Rationale 3: Infants born to mothers who abuse stimulants such as cocaine can have sudden infant death syndrome.
Rationale 4: Infants born to mothers who abuse stimulants such as nicotine can be small for gestational age.
Rationale 5: Fetal alcohol syndrome is associated with abuse of alcohol, which is a depressant.