211) ANSWER
A) Gestational trophoblastic disease
RATIONALE
The client has three risk factors of molar pregnancy: Japanese background, brownish, "prune juice" vaginal bleeding, and the severe nausea and vomiting associated with excessive hCG found in trophoblastic disease. The client has only one symptom of hyperemesis; placenta previa presents with bright red bleeding; and there is no information suggestive of psychosis. The core issue of this question is a cluster of symptoms. Eliminate options 2 and 3 because they are characterized by one main symptom. Eliminate option 4 because no psychological symptoms are presented.
A) Gestational trophoblastic disease
RATIONALE
The client has three risk factors of molar pregnancy: Japanese background, brownish, "prune juice" vaginal bleeding, and the severe nausea and vomiting associated with excessive hCG found in trophoblastic disease. The client has only one symptom of hyperemesis; placenta previa presents with bright red bleeding; and there is no information suggestive of psychosis. The core issue of this question is a cluster of symptoms. Eliminate options 2 and 3 because they are characterized by one main symptom. Eliminate option 4 because no psychological symptoms are presented.
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