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. Orange juice.This is because orange juice is rich in vitamin C, which enhances the absorption of iron from ferrous sulfate tablets.Vitamin C helps reduce iron to its ferrous form, which is more readily absorbed by the intestinal cells.
Choice A is wrong because milk contains calcium, which inhibits iron absorption by forming insoluble complexes with iron.Choice
B is wrong because tea contains tannins, which are polyphenols that bind to iron and decrease its bioavailability.Choice C is wrong because water does not have any effect on iron absorption, neither enhancing nor inhibiting it.
Normal ranges for serum iron are 50-170 mcg/dL for men and 40-150 mcg/dL for women.Normal ranges for hemoglobin are 13.5-17.5 g/dL for men and 12-15.5 g/dL for women.
Correct Answer is C
Explanation
This is because the patient is experiencing supine hypotension syndrome, which occurs when the weight of the gravid uterus compresses the inferior vena cava and reduces venous return and cardiac output. Turning the patient onto her side will relieve the pressure and improve blood flow.
Choice A is wrong because taking the patient’s blood pressure will not address the cause of her symptoms and may delay appropriate intervention.
Choice B is wrong because breathing into her cupped hands will not improve her circulation and may increase her carbon dioxide levels.
Choice D is wrong because elevating the patient’s legs will not relieve the compression of the inferior vena cava and may worsen her condition.Normal blood pressure for a pregnant woman is 110/70 to 120/80 mmHg.Normal heart rate for a pregnant woman is 60 to 90 beats per minute.Normal respiratory rate for a pregnant woman is 16 to 24 breaths per minute.
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