Ectopic Pregnancy - HESI Case Study (Chloe CC- Serious Pain In Her Lower Right Abdomen Q&A A+GRADED!!!!
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Course
Ectopic Pregnancy
Institution
Ectopic Pregnancy
Ectopic Pregnancy - HESI Case Study (Chloe CC-
Serious Pain In Her Lower Right Abdomen Q&A
A+GRADED!!!!
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Which tests does the nurse anticipate the healthcare provider (HCP) will request
after considering Chloe's history and symptoms? (Select all that ...
Ectopic Pregnancy - HESI Case Study (Chloe CC-
Serious Pain In Her Lower Right Abdomen Q&A
A+GRADED!!!!
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Which tests does the nurse anticipate the healthcare provider (HCP) will request
after considering Chloe's history and symptoms? (Select all that apply).
a) Urinalysis (UA)
b) Urine pregnancy test
c) Complete Blood Count (CBC)
d) McBurney's point
e) Abdominal x-ray
f) Serum human chorionic gonadotropin (hCG) - CORRECT ANSWER -- -Urinalysis
(UA)
-Urine pregnancy test
-Complete Blood Count (CBC)
-McBurney's point
-Serum human chorionic gonadotropin (hCG)
Based on the provided results, the nurse can infer which of the following?
a) Chloe has a urinary tract infection and is pregnant
b) Chloe's lab results indicate a probable appendicitis
c) Chloe does not have a urinary tract infection, but is pregnant
d) Chloe has a urinary tract infection - CORRECT ANSWER -- Chloe does not have
a urinary tract infection, but is pregnant
What is the function of hCG?
a) It is produced during pregnancy. It can help support a pregnancy by allowing for
the production of testosterone, the hormone that helps to prepare the lining of the
uterus for implantation
b) It inhibits uterine activity and diminishes the strength of contractions
c) It serves as an insulin antagonist and reduces the amount of glucose needed by
the mother so that more glucose is available for fetal growth
d) 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 - CORRECT ANSWER -- 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?
a) "It is not uncommon for spotting or light bleeding to occur, especially during the
early phases of pregnancy."
b) "Oh, you are correct. There must be a mistake in the lab work. Let's send them
with a fresh specimen."
c) "Well, you have had nausea too, so you must be pregnant."
d) "That is true. The hCG must be a result of a pituitary gland problem. The HCP can
perform an MRI of your brain." - CORRECT ANSWER -- "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?
a) The HCP wants to rule out hyperemesis gravidarum
b) The HCP wants to rule out ectopic pregnancy
c) The HCP wants to rule out multiple gestation because of high hCG levels
d) The HCP wants to rule out pregnancy because anyone who has had an STI
cannot become pregnant - CORRECT ANSWER -- 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?
a) 09/15
b) 10/14
c) 09/11
d) 10/20 - CORRECT ANSWER -- 09/15
How should the nurse explain ectopic pregnancy to Chloe and David?
a) "An ectopic pregnancy involves a fertilized ovum in the vagina."
b) "An ectopic pregnancy involves a cancerous, fertilized ovum in either fallopian
tube."
c) "An ectopic pregnancy involves a fertilized ovum outside of the uterus that cannot
be transferred to the uterus."
d) "An ectopic pregnancy does not need major treatment and can be delivered
vaginally." - CORRECT ANSWER -- "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?
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