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?

Answer 1

The most concerning report from the client is the severe abdominal pain, which could indicate miscarriage or ectopic pregnancy, both of which require immediate medical attention.

Step-by-step explanation:

The most concerning report from a client who is 8 weeks pregnant with severe abdominal pain and vaginal spotting is the abdominal pain. While minor bleeding can sometimes occur during early pregnancy, often referred to as implantation bleeding, severe pain is not normal and could be a sign of a miscarriage, an ectopic pregnancy, or another serious condition requiring immediate medical attention. In the case of an ectopic pregnancy, where the fertilized egg implants outside the uterus, the condition can become life-threatening if not treated promptly. Given the positive urine pregnancy test and the timing since the last menstrual period, it is crucial for the client to be assessed by a healthcare provider to determine the cause of these symptoms and receive appropriate care.