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 C

Explanation

Choice A rationale
An irregular fetal heart rate is not a typical finding in a hydatidiform mole. In a complete molar pregnancy, no embryo forms, and thus, there would be no fetal heart rate to measure.
Choice B rationale
While vaginal discharge can occur in a molar pregnancy, it is typically described as brownish or bloody, not clear.
Choice C rationale
Excessive uterine enlargement is a common symptom of a hydatidiform mole. This occurs because the abnormal placental tissue grows rapidly, which can cause the uterus to expand more quickly than it would in a normal pregnancy.
Choice D rationale
In a molar pregnancy, human chorionic gonadotropin (hCG) levels typically rise more rapidly than they would in a normal pregnancy, not decline rapidly.

A. Collect the specimen using a condom with spermicidal lubricant. B. Leave the specimen at room temperature for 3 to 4 hr prior to transport to the laboratory. C. Abstain from ejaculation for at least 2 to 5 days prior to the test. D. Refrigerate the specimen after collection

Correct Answer is C

Explanation

Choice A rationale
Collecting the specimen using a condom with spermicidal lubricant is not recommended because the spermicidal lubricant can kill sperm, which would affect the results of the semen analysis.
Choice B rationale
Leaving the specimen at room temperature for 3 to 4 hours prior to transport to the laboratory is not recommended because it could affect the quality of the sperm and the accuracy of the test results.
Choice C rationale
It is recommended to abstain from ejaculation for at least 2 to 5 days prior to the test to ensure that the semen sample contains enough sperm for accurate analysis.
Choice D rationale
Refrigerating the specimen after collection is not recommended because it could affect the quality of the sperm and the accuracy of the test results.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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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?