A 28-year-old female presents to the obstetrics office, suspecting she may be pregnant. Which of the following would the nurse recognize as a presumptive sign of pregnancy?

Enlarged uterus.

Positive fetal cardiac activity on ultrasound.

Auscultation of fetal heart tones.

Amenorrhea.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Enlarged uterus is a probable sign of pregnancy, often caused by uterine growth. Probable signs are those observed by the examiner but not definite.

Choice B rationale

Positive fetal cardiac activity on ultrasound is a positive sign of pregnancy. Positive signs are definitive proof of pregnancy, observed via imaging or hearing fetal heart tones.

Choice C rationale

Auscultation of fetal heart tones is a positive sign of pregnancy, indicating fetal presence. Positive signs confirm pregnancy through direct observation or hearing the fetus.

Choice D rationale

Amenorrhea is a presumptive sign of pregnancy, commonly due to hormonal changes. Presumptive signs are subjective symptoms experienced by the woman, like nausea or breast tenderness.

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Correct Answer is B

Explanation

Choice A rationale

Screening for group B streptococcus B-hemolytic (GBS) is typically performed between 35-37 weeks gestation, not during the initial visit. This screen aims to reduce neonatal GBS infections.

Choice B rationale

A complete physical assessment is necessary during the initial prenatal visit to establish a baseline health status and identify any potential health issues or risk factors in pregnancy.

Choice C rationale

Measuring fundal height is usually done after 20 weeks gestation to assess fetal growth and development, not during the initial prenatal visit, where the focus is on baseline assessments.

Choice D rationale

Performing a urinalysis is part of the initial prenatal visit to screen for urinary tract infections, glucose, protein, and other substances, ensuring maternal and fetal health.

A. The type of contraceptive being used by the patient and her partner. B. The number of past pregnancies the patient has had. C. The patient’s age of menarche. D. History of iodine allergy.

Correct Answer is D

Explanation

Choice A rationale

The type of contraceptive used is not directly relevant for a hysterosalpingogram test. The test focuses on the structure and patency of the uterine cavity and fallopian tubes, not contraceptive history.

Choice B rationale

While the number of past pregnancies might be clinically relevant, it does not directly impact the hysterosalpingogram procedure. This test is typically used to evaluate tubal patency and uterine abnormalities regardless of pregnancy history.

Choice C rationale

The patient's age of menarche is not pertinent to a hysterosalpingogram test. Menarche age relates more to puberty and menstrual cycle history, which are not focal points of this imaging procedure.

Choice D rationale

Iodine allergy is crucial to identify before a hysterosalpingogram, as the procedure often involves the use of an iodine-based contrast dye. Identifying allergies helps prevent potential allergic reactions to the dye.

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A 28-year-old female presents to the obstetrics office, suspecting she may be pregnant. Which of the following would the nurse recognize as a presumptive sign of pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a health clinic is caring for a client who arrived for their initial visit after a positive home pregnancy test. The nurse should identify that which of the following actions should occur during the initial visit?

Correct Answer is B

Explanation

The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test, which of the following information from the patient’s history will be needed?

Correct Answer is D

Explanation

A nurse in an obstetrics office is reviewing a client's medical record. Exhibits Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.

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The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?

A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?

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