A client arrives at the clinic very excitedly and reports a positive home pregnancy test.

The nurse cautions that the home pregnancy test is considered a presumptive sign and will assess the client for which sign to confirm pregnancy.

Chadwick's sign.

Hegar's sign.

Positive office pregnancy test.

Fetal movement felt by examiner.

Answer and Explanation

The Correct Answer is C

The proof of pregnancy is in the pregnancy test.
A positive office pregnancy test would confirm the pregnancy.

Choice A, Chadwick’s sign, is not correct because it is not a definitive sign of pregnancy.
Choice B, Hegar’s sign, is also not correct because it is not a definitive sign of pregnancy.
Choice D, Fetal movement felt by the examiner, is not correct because it is not a definitive sign of pregnancy.

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Correct Answer is C

Explanation

A full bladder can displace the uterus and cause it to deviate to one side.
Choice A is not correct because a temperature of 37.7° C (100° F) is within the normal range for a postpartum client.
Choice B is not correct because the client’s milk production is not related to the findings noted by the nurse.
Choice D is not correct because there is no indication that the client needs an increase in IV fluids.

A. Skeletal traction. B. Muscle traction. C. Joint traction. D. Skin traction.

Correct Answer is A

Explanation

Skeletal traction is a type of traction that uses pins, wires, or tongs to apply a pulling force directly to the bone.
This can help align and stabilize a fracture while it heals.

Choice B is not the best answer because muscle traction is not a type of traction.
Choice C is not the best answer because joint traction is not a type of traction.
Choice D is not the best answer because skin traction uses adhesive strips or elastic bandages to apply a pulling force to the skin, rather than directly to the bone.

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A client arrives at the clinic very excitedly and reports a positive home pregnancy test. The nurse cautions that the home pregnancy test is considered a presumptive sign and will assess the client for which sign to confirm pregnancy.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is 14 hr postpartum. The nurse notes: breasts soft; fundus firm, slightly deviated to the right; moderate lochia rubra; temperature 37.7° C (100° F); pulse rate 88/min; respiratory rate 18/min. Which of the following actions should the nurse perform?

Correct Answer is C

Explanation

An infant suffered from a fracture of the humerus and requires traction that uses pins, wires, and tongs. What type of traction is this?

Correct Answer is A

Explanation

A nurse is assisting with the care of a newly-admitted client who has acute osteomyelitis. Which of the following interventions is the priority for the nurse to implement?

The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that a twist around the bone frequently associated with child abuse is what type of fracture?

The nurse has just received the results of a pregnant client's MSAFP screening and notes the levels are elevated. The nurse should prioritize which discussion with the client.

A nurse is collecting data from a client who has skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?

The nurse is collecting data on an 18-month-old child with a diagnosis of autism spectrum disorder (ASD). What clinical manifestation would likely have been noted in the child with this diagnosis?

Mary is a one-month-old infant. When reviewing Mary's chart, the nurse confirms that at birth, Mary received what vaccine?

A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?

A nurse is caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand. Which of the following findings should the nurse report immediately to the charge nurse?

A client arrives at the clinic very excitedly and reports a positive home pregnancy test.

The nurse cautions that the home pregnancy test is considered a presumptive sign and will assess the client for which sign to confirm pregnancy.