Hesi Ectopic Pregnancy Case Study - Chloe Harris 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) - Answer hCG, CBC, Urine pregnancy test, UA, McBurney's Point Based on the provided results, the nurse can infer which of the following? - Answer Chloe does not have a UTI, but is pregnant.What is the function of hCG? - 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.What is the nurse's appropriate response to the client? - Answer 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? - 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 (EDD)? - Answer 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? - 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 chance of becoming pregnant again.Which is the best way for the nurse to respond? - Answer 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.
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