A nurse is assisting with a prenatal examination of a client who is at 8 weeks of gestation. The nurse notes that the client's vagina and vulva are a purplish color. The nurse should document this finding as which of the following?
Ballottement
Chadwick's sign
Hegar's sign
Chloasma
The Correct Answer is B
Chadwick's sign is a bluish or purplish discoloration of the cervix, vagina, and vulva that can occur during pregnancy. It is caused by increased blood flow and vascular changes in the area. It is considered a normal finding in early pregnancy and is often used as a sign to support the diagnosis of pregnancy.
Ballottement refers to a palpable rebound of the fetus when the examiner pushes on the mother's abdomen.
Hegar's sign is the softening and compressibility of the lower uterine segment, which can be felt during a bimanual examination.
Chloasma refers to the development of hyperpigmented patches on the face, often referred to as the "mask of pregnancy."
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Clean the stoma using an inward to outward circular motion.
When providing tracheostomy care, the nurse should clean the stoma using an inward to outward circular motion to remove any secretions or debris. It is important to avoid using excessive force or pressure, which can cause trauma to the stoma. Cleansing the inner cannula with isopropyl alcohol may be appropriate for some clients, but it is important to follow the healthcare provider's orders regarding inner cannula care.
When securing the tracheostomy ties, the nurse should ensure that there is enough space for two fingers, not three. Finally, the nurse should prepare sterile supplies before removing the inner cannula to ensure that they are readily available and reduce the risk of infection.
Correct Answer is D
Explanation
In this scenario, the nurse disclosed sensitive medical information about the client's diagnosis to someone who is not directly involved in the client's care or treatment. This disclosure violates the client's right to privacy and confidentiality.
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