A 35-year-old pregnant woman with irregular periods, G4 T2 PO A1 L2 is 28 weeks pregnant by the last ultrasound, when she experiences bright red and painless vaginal bleeding, fetal contour is easily assessed, and uterine tone is normal. On her arrival at the hospital, what would be an expected diagnostic procedure or test to confirm the diagnosis?

Select one:

Vaginal Ultrasound for placental location

Amniocentesis for fetal lung maturity

Abdominal Ultrasound for placental location

Contraction stress test (CST)

Answer and Explanation

The Correct Answer is A

a.   This would help determine the location of the placenta and whether placenta previa is present, which can cause painless vaginal bleeding.
b.   This is not typically done for diagnosis of painless vaginal bleeding.
c.   While an abdominal ultrasound can also determine the location of the placenta, a vaginal ultrasound is more accurate for this purpose.
d.   This is not typically done for diagnosis of painless vaginal bleeding.

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Correct Answer is C

Explanation

a. Darkening of the areola and breast tenderness are common symptoms of early pregnancy but are not associated with Chadwick's sign.

b. Softening of the lower segment of the uterus is associated with Hegar's sign, not Chadwick's sign.
c. Chadwick's sign is the violet or purplish discoloration of the vulva, vagina, and cervix due to increased blood flow during pregnancy.
d. Presence of early fetal movements is not associated with Chadwick's sign.

A. Not palpable above the symphysis at this time B. 5 cm above the umbilicus C. At the level of the umbilicus D. Slightly above the symphysis pubis

Correct Answer is A

Explanation

a. At 9 weeks of gestation, the uterus is still within the pelvic cavity and not palpable above the symphysis pubis.
b. The fundus is not expected to be palpable 5 cm above the umbilicus until around 20 weeks of gestation.
c. The fundus is not expected to be palpable at the level of the umbilicus until around 20 weeks of gestation.

d. The fundus is not expected to be palpable slightly above the symphysis pubis at 9 weeks of gestation.

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Naxlex Comprehensive Predictor Exams

During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. What is the interpretation of Chadwick's sign? Select one:

Correct Answer is C

Explanation

A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

Correct Answer is A

Explanation

A woman who has five pregnancies with a fetus (or fetuses) not reaching the stage of fetal viability beyond 20 weeks is known as: Select one:

Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate? Select one:

Which fetal heart rate (FHR) finding would concern the nurse during labor? Select one:

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to: Select one:

A female patient reports her menstrual cycle consistently occurs every 30 days. Her period started on January 2, 2023. What day of her cycle can the woman anticipate the ovulation day? Select one: