Hesi Ectopic Pregnancy Case Study - Chloe Harris with complete solutions

T 98.4F, P 80 bpm, RR 20 bpm, BP 126/68 mm Hg, pain 9/10, and LMP was a month ago. Which tests does the nurse anticipate the HCP will request after considering Chloe's history and symptoms? (Select all that apply) hCG, CBC, Urine pregnancy test, UA, McBurney's Point Based on the provided results, the nurse can infer which of the following? Chloe does not have a UTI, but is pregnant. 00:03 00:56 What is the function of hCG? 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. What is the nurse's appropriate response to the client? It is not uncommon for spotting or light bleeding to occur, especially during the early phases of pregnancy. Why does the nurse ask Chloe these questions? 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 (EDD)? 09/15 A pelvic exam and transvaginal ultrasound are performed on Chloe, and an adnexal mass and tenderness in the RLQ are noted. Soon after the exam, Chloe complains that the pain is shooting to her right shoulder. Based on the pelvic exam and transvaginal ultrasound findings, a low-risk ectopic pregnancy is diagnosed and no cardiac activity is detected. How should the nurse explain ectopic pregnancy to Chloe and David? 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 chance of becoming pregnant again. Which is the best way for the nurse to respond? 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 my help maintain the possibility of future pregnancies. The nurse gives Chloe and David some time to process all that they have learned in the short time they have been in the hospital. She asks them if they have any questions. Chloe says, "My sister just had a miscarriage. Does that mean she had chlamydia or any other STI?" How should the nurse respond to the Chloe? No, a miscarriage, which is the lay term for a spontaneous abortion, can happen for a variety of reasons. What is the correct terminology for a situation in which the non-viable pregnancy is not expelled? Missed abortion Which term is used to describe the condition when a pregnant woman experiences increased vaginal bleeding and cramping, her internal cervical os dilates, and the membranes may rupture? Threatened abortion. The HCP discusses Chloe's status with Chloe and David. After the HCP leaves, David states, "I still don't like the word abortion. Can't an abortion be called a miscarriage? In order to validate David's feelings, the nurse states that the term miscarriage is the lay term for spontaneous abortion. The nurse then calmly introduces a more in-depth discussion about the different types of spontaneous abortions. Which statement by the couple indicates that they need further teaching? Septic abortion can be prevented with good perineal hygiene.