A nurse caring for a client in the prenatal clinic states that the patient is clearly pregnant because both the mother and examiner are able to feel the baby move.Which of the following signs of pregnancy is occurring?
This is a possible sign of pregnancy.
This is a positive sign of pregnancy.
This is a presumptive sign of pregnancy.
This is a probable sign of pregnancy.
The Correct Answer is B
Choice A rationale
A possible sign of pregnancy includes symptoms that are suggestive but not definitive, such as amenorrhea (absence of menstruation) or fatigue. These signs can have multiple causes and are not conclusive proof of pregnancy.
Choice B rationale
A positive sign of pregnancy includes objective evidence like fetal movement felt by the examiner, fetal heart sounds detected, or visualization of the fetus on ultrasound. These signs provide direct confirmation of pregnancy.
Choice C rationale
Presumptive signs of pregnancy are subjective experiences reported by the patient, such as nausea, breast tenderness, or quickening (feeling fetal movement). These signs are not confirmatory as they can occur in other conditions.
Choice D rationale
Probable signs of pregnancy include objective findings observed by a healthcare provider, such as uterine enlargement, but they are not definitive as they can also be caused by conditions like fibroids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["July 27"]
Explanation
Step 1 is to identify the first day of the last menstrual period (LMP), which is October 20.
Step 2 is to count back 3 months from October 20, resulting in July 20.
Step 3 is to add 1 year to July 20, resulting in July 20 of the following year.
Step 4 is to add 7 days to July 20, resulting in July 27.
Final calculated answer: July 27 of the following year.
Correct Answer is B
Explanation
Choice A rationale
Zidovudine (ZVD) is given intravenously during labor to reduce the risk of mother-to-child transmission of HIV.
Choice B rationale
HIV-positive mothers are advised not to breastfeed as HIV can be transmitted through breast milk. This statement indicates the need for further teaching.
Choice C rationale
Administering Zidovudine (ZVD) orally to the baby immediately after birth for 6 weeks is standard practice to prevent HIV transmission.
Choice D rationale
Adherence to taking Zidovudine (ZVD) at the same time every day during pregnancy is crucial for maintaining effective drug levels and reducing the risk of mother-to-child transmission.
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