A nurse assesses a client for signs of ectopic pregnancy. Which assessment finding should the nurse expect?

• A. Abdominal pain
• B. Headache
• C. Rash on the trunk
• D. Shortness of breath on exertion

Answer: (A)

Abdominal pain is the expected finding because an ectopic pregnancy involves implantation of the pregnancy outside the uterine cavity, most often in a fallopian tube. The growing tissue and any subsequent rupture irritate pelvic structures and peritoneum, producing unilateral or generalized lower abdominal/pelvic pain. If rupture occurs, intraperitoneal bleeding leads to sudden, severe pain and signs of shock. Early on, pain may be accompanied by vaginal bleeding, but pain is the most consistent presenting symptom.

Headache, rash on the trunk, and shortness of breath on exertion are not typical or specific signs of an ectopic pregnancy and do not reflect its common presentations.