Which finding could cause the nurse to suspect gestational trophoblastic disease in a client at 8 weeks' gestation?

Question

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Gestational trophoblastic disease is characterized by proliferation and edema of the chorionic villi. The fluid-filled villi form grapelike clusters of tissue that can rapidly grow to fill the uterus to the size of a more advanced pregnancy. Blood pressure of 128/70 mm Hg, nausea and vomiting, and weight gain of 3 pounds are all normal findings in the first trimester.

Which Finding Could Cause the Nurse to Suspect Gestational Trophoblastic