A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole. What findings
should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - <
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi,
which gives rise to multiple cysts. The products of conception transform into a large number of
edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually dark
brown and can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational HTN. What
finding should the nurse identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - <
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine output in
an adult client is 30 mL/hr. This can indicate progression of preeclampsia to preeclampsia with
severe features, which requires immediate intervention. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement should the nurse
include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the pregnancy - <
continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medication every day decreases
the risk of transmission of HIV to her newbor
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