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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0503"]
Explanation
The correct answer is 0503.
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.
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