The client who is at 5 weeks gestation is seen in the Emergency Department with complaints of severe abdominal and pelvic pain.A vaginal examination reveals tenderness and a palpable mass near the uterus.Based upon your knowledge,which of the following can the nurse anticipate will take place first?

Question

Quizplus · Accepted Answer

The findings of severe abdominal and pelvic pain, tenderness and a palpable mass near the uterus at 5 weeks gestation suggest a possible ectopic pregnancy or a threatened miscarriage. In such cases, the first diagnostic test that is typically ordered is an ultrasound to determine the location and viability of the gestational sac. This will help to guide further management decisions such as observation, medical management or surgical intervention. Therefore, option D would be the most appropriate first action. Options A, B and C are less likely to be the first step in the management of this client's condition.

The Client Who Is at 5 Weeks Gestation Is Seen