Which tests does the nurse anticipate the healthcare provider (HCP) will request after
considering Chloe's history and symptoms? (Select all that apply). correct answers 1. Urinalysis
(UA)
2. Urine pregnancy test
3. Complete Blood Count (CBC)
4. McBurney's point
5. Serum human chorionic gonadotropin (hCG)
Based on the provided results, the nurse can infer which of the following? correct answers Chloe
does not have a urinary tract infection, but is pregnant
What is the function of hCG? correct answers It is produced during pregnancy. It can help
support a pregnancy by allowing for the production of progesterone, the hormone that helps to
prepare the lining of the uterus for implantation
The HCP in the ED discusses the results of the laboratory tests with Chloe and her husband
David and explains that Chloe has a positive pregnancy test. After the HCP leaves the room,
Chloe looks at the nurse and states, "That can't be. I have been having my period. How can I be
pregnant?"What is the nurse's appropriate response to the client? correct answers "It is not
uncommon for spotting or light bleeding to occur, especially during the early phases of
pregnancy."
The nurse notes that Chloe's hCG level is 2550 mU/mL and next asks Chloe a series of
questions, including when her LMP was, if she smokes, and if she has ever had any sexually
transmitted infections (STIs). Chloe reports her last menstrual period was 5 weeks ago and that
she had chlamydia 6 years ago.Why does the nurse ask Chloe these questions? correct answers
The HCP wants to rule out ectopic pregnancy
Chloe reports that her LMP was 12/08.Using Nagele's rule, what is Chloe's estimated due date?
correct answers 09/15
How should the nurse explain ectopic pregnancy to Chloe and David? correct answers An
ectopic pregnancy involves a fertilized ovum outside of the uterus that cannot be transferred to
the uterus."
Based on the diagnosis of a low-risk ectopic pregnancy with no cardiac activity, the need to
discuss treatment options arises. David is very eager to become a father and asks if the ectopic
pregnancy has ruined their chances of becoming pregnant again.Which is the best way for the
nurse to respond? correct answers You will be screened for the possible administration of a folic
acid antagonist called methotrexate. This is a non-surgical approach to treat the ectopic
pregnancy, that may help maintain the possibility of future pregnancies.