Author Question: Which finding should be the nurse's priority in a client suspected as having gestational ... (Read 14 times)

Shelles · **on:** Jun 28, 2018

Which finding should be the nurse's priority in a client suspected as having gestational trophoblastic disease?

a. Uterine contractions
b. Nausea and vomiting
c. Blood pressure of 130/80 mm Hg
d. Increase discharge of vaginal mucus

Question 2

Which assessment by the nurse would differentiate a placenta previa from an abruptio placentae?

a. Saturated perineal pad in 1 hour
b. Pain level 0 on a scale of 0 to 10
c. Cervical dilation at 2 cm
d. Fetal heart rate at 160 bpm

ngr69 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Uterine contractions can cause trophoblastic tissue to be pulled into large venous sinusoids in the uterus, resulting in embolization of the tissue and respiratory distress. Nausea and vomiting and blood pressure of 130/80 mm Hg represent no immediate danger to the client and can be addressed later. Increased discharge of vaginal mucus is a normal finding in pregnancy.

Answer to Question 2

ANS: B
The classic sign of placenta previa is the sudden onset of painless uterine bleeding, whereas abruptio placentae results in abdominal pain and uterine tenderness; heavy bleeding, cervical dilation, and fetal heart rate of 160 bpm could be associated with both conditions.