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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

he correct answer is choice A. “Instead of having eggs, I am eating yogurt for breakfast.” This statement shows a need for further instruction because eggs are a good source of protein and yogurt is not.

Yogurt is a dairy product that contains mostly carbohydrates and some fat.

Eggs are an animal product that contains mostly protein and some fat.

Protein is important for building and repairing tissues in the body.

Choice B is correct because adding powdered milk to skim milk increases the protein content of the drink.

Powdered milk is a dairy product that contains protein, carbohydrates and fat.

Skim milk is a dairy product that contains protein and carbohydrates but no fat.

Choice C is correct because peanut butter is a good source of protein and healthy fats.

Peanut butter is a plant product that contains protein, fat and some carbohydrates.

Crackers are a grain product that contains mostly carbohydrates and some protein.

Choice D is correct because cream of tomato soup is a good source of protein and calories.

Cream of tomato soup is a processed food that contains tomatoes, cream, flour and seasonings.

Tomatoes are a vegetable that contains mostly water and some carbohydrates.

Cream is a dairy product that contains mostly fat and some protein.

Flour is a grain product that contains mostly carbohydrates and some protein.

Seasonings are herbs and spices that contain mostly flavor and some nutrients.

The normal range of protein intake for adults is 0.8 to 1 gram per kilogram of body weight per day.

This means that an adult who weighs 70 kilograms should consume about 56 to 70 grams of protein per day.

A. The time and amount of the first post-procedure voiding. B. The erectile ability of the penis. C. The position of the urethral opening on the penis. D. The presence of a small amount of white-yellow exudate around the glans tissue.

Correct Answer is A

Explanation

This is because circumcision is a surgical procedure that involves cutting off the foreskin of the penis, which may affect the urinary function of the baby.The nurse should make sure that the baby can urinate normally and without pain after the circumcision.

The amount of urine should be adequate for the baby’s weight and hydration status.

Choice B is wrong because the erectile ability of the penis is not affected by circumcision and is not a priority for discharge planning.

Choice C is wrong because the position of the urethral opening on the penis is not related to circumcision and should be assessed at birth, not at discharge.

Choice D is wrong because the presence of a small amount of white-yellow exudate around the glans tissue is normal and expected after circumcision.It is part of the healing process and does not indicate infection.The nurse should instruct the parents on how to care for the circumcised penis and when to seek medical attention if there are signs of complications.

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A client is at the antepartal clinic for a pregnancy test.Which finding, if present, would be considered a positive sign of pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been instructed to increase the protein in her diet. Which statement by the patient shows a need for further instruction?

Correct Answer is A

Explanation

A baby boy is circumcised on the day of discharge. Which observation should the nurse make prior to the infant’s discharge?.

Correct Answer is A

Explanation

The newborn of a patient suspected to have used drugs during the prenatal period is admitted to the nursery.The nurse caring for the newborn notes that the infant is beginning to exhibit signs of drug withdrawal.Which action should the nurse take?

The nurse suspects drug abuse in a patient admitted with no prenatal care and a diagnosis of abruptio placentae.Which question would elicit the most information from the patient concerning the suspected drug use?

A nurse is caring for a patient who is 40 weeks pregnant. Which finding would indicate the need for a cesarean delivery?

A patient has decided to bottle-feed her twins.The nurse should give this patient which instruction to help alleviate breast engorgement?

During a regular clinic visit, a patient who is 28 weeks pregnant reports leg cramps. The nurse teaches the patient measures to relieve the cramps. Which statement would indicate that the patient understands the teaching?

A patient who is 17 weeks pregnant shares several pieces of information with the nurse. Which statement made by the patient would indicate the patient is at risk for having an infant with intrauterine growth retardation (IUGR)?

The nurse instructs a class of postpartum women on methods to avoid nipple soreness while breastfeeding. Which comment by a class participant indicates the need for further instruction?

A client had a laparoscopic bilateral tubal ligation (BTL) in the delivery room. Which intervention should a nurse plan to include in this client’s postoperative care?