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 D

Explanation

Choice A rationale

Evaluating the fetal heart rate does not address maternal symptoms of supine hypotensive syndrome. Moving the client first corrects the underlying issue. Fetal evaluation can follow once maternal circulation improves, ensuring both are assessed.

Choice B rationale

Checking recent food and fluid intake does not immediately address the likely cause of supine hypotensive syndrome. Correcting maternal positioning is urgent to improve venous return and prevent adverse effects, then other assessments can follow.

Choice C rationale

Measuring blood pressure and pulse can confirm hypotension but does not address its cause. Immediate repositioning to lateral position alleviates the compression on the inferior vena cava, improving blood flow before measuring vitals.

Choice D rationale

Turning to a lateral position relieves the vena cava from compression by the gravid uterus, reducing symptoms of supine hypotensive syndrome. This action improves venous return, stabilizing maternal hemodynamics and alleviating dizziness and pallor.

A. You should not eat or drink for 8 hours before the test. B. It is a screening test so it does not actually diagnose anomalies. C. Since you have no chronic illnesses, your test results should be fine. D. You will be on bed rest for 4 hours after the test.

Correct Answer is B

Explanation

Choice A rationale

Fasting for 8 hours before the AFP test is not required. This misinformation might cause unnecessary patient anxiety. Understanding test protocols helps in providing accurate and reassuring patient education, reducing pre-test stress.

Choice B rationale

AFP test is a screening tool to identify potential anomalies such as neural tube defects or chromosomal abnormalities. It does not provide a definitive diagnosis but indicates if further diagnostic testing is warranted for confirming anomalies.

Choice C rationale

Absence of chronic illnesses does not guarantee normal AFP test results. This statement is misleading, as AFP levels can be affected by a variety of factors, including gestational age and fetal conditions, requiring comprehensive analysis.

Choice D rationale

Bed rest is not necessary after an AFP test. This misinformation may cause unnecessary concern or inconvenience for the patient. Proper understanding of post-test care helps in providing correct patient instructions and alleviating fears.

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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?

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Naxlex Comprehensive Predictor Exams

The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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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?