A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant because she feels the baby moving. Which of the following statements should the nurse make?
"This is a probable sign of pregnancy."
"This is a possible sign of pregnancy."
"This is a positive sign of pregnancy."
"This is a presumptive sign of pregnancy."
The Correct Answer is D
Explanation:
A. "This is a probable sign of pregnancy."
A probable sign of pregnancy is an objective finding observed by a healthcare provider that suggests the likelihood of pregnancy but does not confirm it definitively. Examples of probable signs include positive pregnancy tests (urine or blood tests), changes in the uterus (enlargement, softening), and changes in the cervix (Goodell's sign, Chadwick's sign). Sensations of fetal movement, such as the feeling of the baby moving, are actually presumptive signs of pregnancy rather than probable signs because they can have other explanations and are not definitive proof of pregnancy.
B. "This is a possible sign of pregnancy."
While sensations of fetal movement can be associated with pregnancy, they are more accurately classified as presumptive signs rather than possible signs. Possible signs typically refer to signs or symptoms that could be related to various conditions, including pregnancy, but do not specifically indicate pregnancy on their own. In this context, "possible" may not be as accurate as "presumptive" for describing fetal movement as a sign of pregnancy.
C. "This is a positive sign of pregnancy."
A positive sign of pregnancy is a definitive finding that confirms the presence of a fetus. Examples of positive signs include fetal heartbeat heard by Doppler or ultrasound, fetal movement felt by the healthcare provider (palpation), and visualization of the fetus on ultrasound. Sensations of fetal movement reported by the woman (quickening) are not considered positive signs because they can be subjective and may have other explanations, such as gas or muscle contractions.
D. "This is a presumptive sign of pregnancy."
A presumptive sign of pregnancy is a subjective sign reported by the woman that may indicate pregnancy but can also have other explanations. Examples include amenorrhea (missed periods), nausea and vomiting (morning sickness), breast changes, and sensations of fetal movement (quickening). Sensations of fetal movement are considered presumptive because they are subjective and can be caused by factors other than pregnancy, such as gas or muscle contractions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation:
A. "Don't worry. You will be fine once the baby is born."
This response may inadvertently dismiss the client's feelings of doubt and uncertainty. It assumes that the client's concerns will automatically resolve after childbirth, which may not be the case for everyone. It lacks acknowledgment of the client's current emotional state and does not offer meaningful support or guidance.
B. "Ambivalent feelings are quite common for women early in pregnancy."
This response acknowledges the client's feelings of doubt and uncertainty as valid and common experiences during early pregnancy. It normalizes her emotions, letting her know that she is not alone in feeling this way. By providing this validation, the nurse creates a supportive environment where the client can feel understood and accepted.
C. "Perhaps you should see a counselor to discuss these feelings further."
Suggesting counseling is a proactive and supportive approach. It recognizes that the client's emotions are complex and may benefit from professional guidance. Counseling offers a safe space for the client to explore her feelings, understand their root causes, and develop coping strategies. It demonstrates the nurse's commitment to the client's emotional well-being and encourages seeking help when needed.
D. "Have you spoken to your mother about these feelings?"
While seeking support from family members can be valuable, this response may not fully address the client's emotional needs. It assumes that talking to her mother will automatically resolve her concerns, which may not always be the case. Additionally, some clients may prefer discussing sensitive issues with a neutral third party or a trained counselor who can offer unbiased support and guidance.
Correct Answer is B
Explanation
Explanation:
A. "I know I am at increased risk to develop type 2 diabetes."
This statement indicates an understanding of the increased risk for developing type 2 diabetes after experiencing gestational diabetes. It shows awareness of the long-term implications and the importance of ongoing monitoring and lifestyle management.
B. "I will reduce my exercise schedule to 3 days a week."
This statement is concerning because regular exercise is an essential component of managing gestational diabetes. Exercise helps control blood sugar levels, improves insulin sensitivity, and promotes overall health during pregnancy. The client should not reduce their exercise schedule unless advised by their healthcare provider for specific reasons.
C. "I will take my glyburide daily with breakfast."
Glyburide is an oral medication used to help control blood sugar levels in some cases of gestational diabetes. Taking it with breakfast can help optimize its effectiveness. This statement indicates an understanding of medication management.
D. "I should limit my carbohydrates to 50% of caloric intake."
Limiting carbohydrates is often a key part of managing gestational diabetes, as it can help control blood sugar levels. However, the specific percentage of carbohydrate intake may vary based on individual factors and should be determined in consultation with a healthcare provider or registered dietitian.
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