A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make?

"This is a positive sign of pregnancy.

"This is a possible sign of pregnancy."

"This is a presumptive sign of pregnancy."

"This is a probable sign of pregnancy"

Answer and Explanation

The Correct Answer is C

A. "This is a positive sign of pregnancy." A positive sign of pregnancy includes objective evidence such as fetal heartbeat, fetal movement felt by the examiner, or visualizing the fetus on an ultrasound.

B. "This is a possible sign of pregnancy." Possible signs refer to physical changes that could indicate pregnancy but are not definitive, such as breast changes or uterine enlargement.

C. "This is a presumptive sign of pregnancy." Feeling fetal movement (quickening) is considered a presumptive sign because it is subjective and reported by the client, which may indicate pregnancy but is not definitive.

D. "This is a probable sign of pregnancy." Probable signs are objective signs observed by the examiner, such as a positive pregnancy test or Chadwick’s sign, but still not conclusive for pregnancy.

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Correct Answer is B

Explanation

A. Severe nausea and vomiting: Severe nausea and vomiting are more characteristic of hyperemesis gravidarum, not ectopic pregnancy.

B. Pelvic pain: Ectopic pregnancy typically presents with pelvic pain, which may be sharp and localized due to the implantation of the embryo outside the uterus, commonly in the fallopian tube.

C. Uterine enlargement greater than expected for gestational age: In an ectopic pregnancy, the uterus may not enlarge as expected because the embryo is implanted outside the uterus.

D. Copious vaginal bleeding: Vaginal bleeding can occur, but it is usually minimal rather than copious. Severe bleeding may occur if the ectopic pregnancy ruptures.

A. Placenta previa B. Newborn hypoglycemia C. Oligohydramnios D. Small for gestational age newborn

Correct Answer is B

Explanation

A. Placenta previa: Placenta previa is not specifically linked to gestational diabetes. It is related to abnormal placental implantation.

B. Newborn hypoglycaemia: Gestational diabetes can cause the newborn to produce excess insulin in response to maternal hyperglycemia, which can result in hypoglycemia after birth.

C. Oligohydramnios: Oligohydramnios is not commonly associated with gestational diabetes. Polyhydramnios is more likely due to fetal hyperglycemia.

D. Small for gestational age newborn: Gestational diabetes more commonly results in large for gestational age (LGA) newborns due to excess glucose available to the fetus, which can lead to excessive growth.

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A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

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