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 ["0.5"]

Explanation

The ordered dose is 1 mg, and the concentration available is 1 mg per 0.5 mL. Therefore, the nurse will administer 0.5 mL per dose.

A. "This test determines if kernicterus will occur in the newborn." B. "This test detects Rh-positive antibodies in the mother's blood." C. This test detects Rh-negative antibodies in a newborn who is Rh-positive." D. "This test determines the presence of maternal antibodies in the newborn's blood."

Correct Answer is B

Explanation

A. "This test determines if kernicterus will occur in the newborn." Kernicterus is caused by severe jaundice and bilirubin toxicity but is not directly predicted by the indirect Coombs test.

B. "This test detects Rh-positive antibodies in the mother's blood." The indirect Coombs test is used to detect Rh antibodies in the mother’s blood, which could indicate a risk of hemolytic disease of the newborn if the fetus is Rh-positive.

C. "This test detects Rh-negative antibodies in a newborn who is Rh-positive." This describes the direct Coombs test, which checks for antibodies attached to the newborn’s red blood cells.

D. "This test determines the presence of maternal antibodies in the newborn's blood." The indirect Coombs test is used to detect antibodies in the maternal blood, not in the newborn's blood.

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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

. A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the purpose of an indirect Coombs test. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

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