Which of these interventions should the nurse recognize as the ...

[Garrulous]

Which of these interventions should the nurse recognize as the priority for the client diagnosed with an intact tubal pregnancy?
 
  a. Assessment of pain level
  b. Administration of methotrexate
  c. Administration of Rh immune globulin
  d. Explanation of the common side effects of the treatment plan

Question 2

Which finding in the exam of a client with a diagnosis of threatened abortion would change the diagnosis to inevitable abortion?
 
  a. Presence of backache
  b. Rise in hCG level
  c. Clear fluid from vagina
  d. Pelvic pressure

[rachel]

Answer to Question 1

ANS: B
The goal of medical management of an intact tube is to preserve the tube and improve the chance of future fertility. Methotrexate (a folic acid antagonist) is used to inhibit cell division and stop growth of the embryo. Assessment of pain level, administration of Rh immune globulin, and explaining common side effects of the treatment plan should be implemented in conjunction with or soon after treatment with methotrexate has begun.

Answer to Question 2

ANS: C
Clear fluid from the vagina indicates rupture of the membranes. Abortion is usually inevitable (cannot be stopped) when the membranes rupture, the presence of backache and pelvic pressure are common symptoms in threatened abortion, and a rise in the hCG level is consistent with a viable pregnancy.