Question

The nurse is caring for a client who reports severe abdominal pain and vaginal spotting. The client had a positive urine pregnancy test at home, and her last menstrual period was 8 weeks ago. Which client report to the nurse is most concerning?

a) Abdominal pain without vaginal spotting
b) Positive urine pregnancy test
c) Last menstrual period 8 weeks ago
d) Severe abdominal pain and vaginal spotting

Answer 1

Severe abdominal pain and vaginal spotting in a pregnant client is the most alarming combination of symptoms, as it can indicate serious complications such as ectopic pregnancy or miscarriage, and requires immediate medical attention.

Step-by-step explanation:

The nurse is caring for a client who reports severe abdominal pain and vaginal spotting. Among the options provided, the most concerning report to the nurse would be d) Severe abdominal pain and vaginal spotting. This combination of symptoms can be indicative of a number of urgent medical conditions, including ectopic pregnancy or miscarriage. With a confirmed positive pregnancy test and the last menstrual period being 8 weeks ago, these symptoms pose a risk for complications such as hemorrhage or infection. Immediate medical evaluation is necessary to determine the cause and appropriate treatment. In contrast, a positive urine pregnancy test or a last menstrual period being 8 weeks ago are expected findings in early pregnancy and are not inherently concerning without accompanying symptoms.