NursingPlex
    Sign In
    Rn Hesi Pediatric And Women Health Proctored Exam

    A client at 6-weeks gestation presents to the office with report of vaginal bleeding for the last 12 hours without cramping. Which action should the nurse take?

    Explanation & Rationale

    A. Verify date of last menstrual cycle: Knowing the last menstrual period helps estimate gestational age which is already known as 6 weeks but does not immediately assess the viability of the pregnancy or the cause of bleeding. B. Inquire about last occurrence of intercourse: Sexual activity may be relevant for differential diagnosis but does not provide critical information about pregnancy viability or bleeding etiology at this time. C. Check serum human chorionic gonadotropin: Serum hCG levels provide quantitative information about pregnancy viability and progression. In a client with first-trimester bleeding, this test helps determine whether the pregnancy is developing normally or if there is a risk of miscarriage or ectopic pregnancy. D. Repeat a urine pregnancy test: Urine pregnancy tests are qualitative and less sensitive than serum hCG. They confirm pregnancy presence but cannot assess viability or detect early complications, making them less useful in this scenario.

    🔒 Submit your answer to reveal