A patient makes an appointment at the prenatal clinic because she believes she might be pregnant.
Which assessment should the nurse identify as a presumptive sign of pregnancy?
Positive pregnancy test.
Cervical softening.
Amenorrhea.
Vagina appearing violet in color.
The Correct Answer is C
Choice A rationale
A positive pregnancy test is a probable sign of pregnancy, not a presumptive one. Probable signs are observed by the healthcare provider and are strongly suggestive of pregnancy but could be caused by other conditions.
Choice B rationale
Cervical softening, also known as Goodell’s sign, is a probable sign of pregnancy that occurs around the 6-8th week of gestation. It is observed by the healthcare provider during a physical examination.
Choice C rationale
Amenorrhea, or the absence of menstruation, is a presumptive sign of pregnancy. Presumptive signs are those experienced by the woman, such as amenorrhea, fatigue, and increased urination. However, these signs are not definitive proof of pregnancy as they could be caused by other conditions.
Choice D rationale
A violet coloration of the vagina, known as Chadwick’s sign, is a probable sign of pregnancy that occurs around the 4th week of gestation due to increased blood flow. It is observed by the healthcare provider during a physical examination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
Abstaining from all alcohol consumption is a key recommendation for a healthy pregnancy. Alcohol can cause a range of developmental problems in the fetus, including fetal alcohol syndrome. Therefore, it’s best to avoid alcohol entirely during pregnancy.
Choice B rationale
Maintaining a nutritious diet rich in fruits and vegetables is essential for a healthy pregnancy. A balanced diet ensures that the mother and baby get the necessary nutrients for healthy growth and development.
Choice C rationale
Ceasing smoking immediately is another important recommendation for a healthy pregnancy. Smoking during pregnancy can lead to a variety of health problems for the baby, including premature birth, low birth weight, and sudden infant death syndrome.
Choice D rationale
Incorporating cardiovascular exercises into her workout routine is beneficial during pregnancy. Regular, moderate-intensity exercise can help manage weight gain, improve mood, and reduce pregnancy-related discomforts such as back pain and fatigue.
Correct Answer is C
Explanation
Choice A rationale
Antihypertensives are medications used to treat high blood pressure. There is no evidence to suggest that they interfere with the effectiveness of combined oral contraceptives (COCs)2.
Choice B rationale
Antioxidants are substances that may protect your cells against free radicals. There is no evidence to suggest that they interfere with the effectiveness of COCs.
Choice C rationale
Certain anticonvulsants, such as carbamazepine (Tegretol), topiramate (Topamax), and phenytoin (Dilantin), are known to decrease the contraceptive effectiveness of COCs. These medications increase the breakdown of the hormones in birth control pills, which could make them less effective.
Choice D rationale
Antiemetics are medications that help prevent and treat nausea and vomiting. There is no evidence to suggest that they interfere with the effectiveness of COCs.
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