A client is at the antepartal clinic for a pregnancy test.Which finding, if present, would be considered a positive sign of pregnancy?
Quickening.
Uterine enlargement.
Urinary frequency.
Presence of human chorionic gonadotropin (hCG) in blood.
The Correct Answer is D
The correct answer is choice D. Presence of human chorionic gonadotropin (hCG) in blood. This is a positive sign of pregnancy that can only be attributed to a fetus. hCG is a hormone produced by the placenta that can be detected in blood or urine tests.
Choice A. Quickening. This is a presumptive sign of pregnancy that is based on the woman’s report of feeling fetal movements in her lower abdomen. This can occur at 16 weeks for second time moms and around 20 weeks for first time moms. However, this sign is not conclusive as other conditions can cause similar sensations.
Choice B. Uterine enlargement. This is a probable sign of pregnancy that can be observed by the nurse or doctor through palpation. However, this sign does not mean 100% that a baby is growing in the uterus as it can be due to other causes such as fibroids or tumors.
Choice C. Urinary frequency. This is a presumptive sign of pregnancy that is based on the woman’s report of needing to urinate more often than usual. This can be caused by hormonal changes and increased blood volume during pregnancy. However, this sign is not definitive as other conditions such as urinary tract infections or diabetes can also cause frequent urination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. Insufficient relaxation of the uterus between contractions.This is also known astachysystoleorhyperstimulation, which can cause fetal distress and uterine rupture.Oxytocin is a hormone that stimulates uterine contractions, but it can also cause them to be too strong or too frequent if given in high doses or for too long.
Choice A is wrong because oxytocin does not decrease body temperature.
Choice B is wrong because oxytocin does not cause maternal cardiac arrhythmias.
Choice C is wrong because oxytocin does not cause urinary retention.
Correct Answer is B
Explanation
he correct answer is choice B. Sufficient perfusion and circulation of the fetus.This is because the fetal heart rate is within the normal range of 110 to 160 beats per minute, and there is moderate beat-to-beat variability, which indicates a healthy nervous system.
Choice A is wrong because insufficient perfusion of the placenta would cause fetal distress and abnormal fetal heart rate patterns, such as late decelerations or minimal variability.
Choice C is wrong because maternal hypoxia would not directly affect the fetal heart rate, unless it leads to placental insufficiency or uterine hyperstimulation.
Choice D is wrong because fetal hypoxia would cause signs of fetal distress, such as tachycardia, bradycardia, or absent variability.
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