Question

Which of these manifestations, if reported by a client who is 10-weeks-pregnant, supports the diagnosis of ruptured tubal pregnancy. a. Sharp unilateral abdominal pain. b. Uncontrollable vomiting. c. Marked abdominal distention. d. Profuse vaginal bleeding.

Answer 1

Sharp unilateral abdominal pain and profuse vaginal bleeding, if reported by a 10-week-pregnant woman, support the diagnosis of a ruptured tubal pregnancy. This condition is life-threatening and needs immediate medical attention. Treatments can range from drugs like Methotrexate to surgical intervention.

Step-by-step explanation:

Among the manifestations listed, sharp unilateral abdominal pain and profuse vaginal bleeding are the ones supporting the diagnosis of a ruptured tubal pregnancy. A tubal pregnancy, also referred to as an ectopic pregnancy, occurs when the embryo implants itself in the fallopian tube instead of the uterus. This often leads to tubal rupture if undetected or untreated, causing sharp, localized pain and internal bleeding, often presented as profuse vaginal bleeding.

At 10 weeks, the growing embryo exacerbates the situation by increasing pressure on the fallopian tube, making rupture more likely. This condition is life-threatening and requires immediate medical intervention. Treatment can include administration of a cytotoxic drug like Methotrexate or surgical intervention to repair or remove the damaged tube, depending on the extent of the rupture and the patient's condition.

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