At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

Sexually transmitted infections.

Glucose.

Ketones.

Testosterone levels.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Clean catch urine specimens are not used to test for sexually transmitted infections as these require specific culture tests or nucleic acid amplification tests for accurate detection.

Choice B rationale

Glucose testing in urine helps monitor gestational diabetes or potential diabetes mellitus in pregnant clients. Normal urine glucose levels are typically negligible.

Choice C rationale

Ketones in urine indicate fat metabolism, which can occur during fasting or inadequate carbohydrate intake, and are relevant in the management of diabetic patients.

Choice D rationale

Clean catch urine specimens do not test for testosterone levels, which require serum measurements. Prenatal urine tests focus on glucose, protein, and signs of infection.

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Correct Answer is ["A","E"]

Explanation

Choice B rationale: Breast tenderness is a common symptom of early pregnancy caused by hormonal changes. It generally does not require further investigation unless there are additional concerning signs like lumps or discharge from the nipples.

Choice C rationale: Nausea is another common symptom of early pregnancy due to increased levels of human chorionic gonadotropin (HCG). It is expected and usually does not require further investigation unless it becomes severe and leads to dehydration.

Choice D rationale: Fatigue is a typical symptom in early pregnancy, often due to hormonal changes and increased blood production. It generally does not require further investigation unless accompanied by other symptoms like severe anemia or thyroid dysfunction.

Choice E rationale: Burning with urination is a symptom of a urinary tract infection (UTI) or sexually transmitted infection (STI). Further investigation is necessary to identify the cause and provide appropriate treatment to prevent complications.

A. Amenorrhea. B. Goodell’s sign. C. Quickening. D. Lightening.

Correct Answer is A,B,C,D

Explanation

The correct sequence of maternal changes from first to last is:

Amenorrhea (A) – This is usually the first sign of pregnancy, occurring due to increased progesterone levels and the absence of a menstrual period.
Goodell’s sign (B) – This refers to the softening of the cervix, which typically occurs around 6-8 weeks of pregnancy due to increased vascularization.
Quickening (C) – This is the first perception of fetal movement by the mother, usually felt between 16-20 weeks of pregnancy.
Lightening (D) – This occurs late in pregnancy (around 37-40 weeks) when the fetus descends into the pelvis in preparation for birth.

So, the correct order is:
A → B → C → D.

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At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits Which two (2) client findings in the history and physical require further investigation?

Correct Answer is ["A","E"]

Explanation

A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes. Order from the first in appearance to last.

Correct Answer is A,B,C,D

Explanation

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse reviews the client's laboratory results. The nurse understands that the client is most likely experiencing which condition? Select all that apply.

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client’s last menstrual period began on July 27. What is the client’s EDB? (State the date in MMDD. For example, July 27 is 0727) .

The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?

A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?

A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?

The nurse reviews a client’s antepartum nonstress test results as reactive. The nurse interprets this finding as:

A 16-year-old client at 18 weeks gestation with a normal BMI expresses concern about weight gain during pregnancy. The client wants to know how to avoid gaining too much weight. What is an appropriate response from the nurse?

A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?