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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale
The client’s symptoms of painful sores on the perineum, muscle aches, and chills are indicative of a viral infection, specifically herpes simplex virus type 2 (HSV-2), which is a sexually transmitted infection. Antiviral medications, such as acyclovir or valacyclovir, are typically prescribed to manage HSV-2. These medications can help to decrease the severity and frequency of outbreaks.
Choice B rationale
While pain management medication may provide temporary relief for the client’s discomfort, it does not address the underlying cause of the symptoms. The client’s symptoms are indicative of a viral infection, not a condition that would primarily be managed with pain medication.
Choice C rationale
Antibiotics are used to treat bacterial infections. The client’s symptoms of painful sores on the perineum, muscle aches, and chills are more indicative of a viral infection, specifically HSV-2. Therefore, an antibiotic would not be the most effective treatment option.
Choice D rationale
A topical cream for itching may provide some relief for the client’s reported mild vaginal itching. However, this treatment option does not address the primary issue, which is the painful sores on the perineum and other symptoms indicative of a viral infection.

A. Every 2 weeks until 30 weeks, every 2 to 3 weeks until 36 weeks, then every week until delivery. B. Every 3 weeks for the first 28 weeks, then weekly until delivery. C. Every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, then every week until delivery. D. Every 2 weeks until 30 weeks, then every other week until delivery.

Correct Answer is C

Explanation

Choice A rationale
This schedule is not the standard prenatal visit schedule. It suggests more frequent visits in the early stages of pregnancy.
Choice B rationale
This schedule is not the standard prenatal visit schedule. It suggests less frequent visits in the early stages of pregnancy.
Choice C rationale
This is the standard prenatal visit schedule. It suggests visits every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and then every week until delivery.
Choice D rationale
This schedule is not the standard prenatal visit schedule. It suggests more frequent visits in the early stages of pregnancy and less frequent visits in the later stages.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse in the prenatal clinic is educating a group of pregnant women attending the clinic for the first time about the visit schedule. Which of the following is correct about the visit schedule?

Correct Answer is C

Explanation

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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?