The nurse is interviewing a client who sates that she is pregnant. What are some presumptive signs of pregnancy? Select all probable signs of pregnancy.
Breast tenderness
Palpable fetal parts
Urinary frequency
Amenorrhea
Morning sickness
Fetal heart rate detected by doppler device
Correct Answer : A,C,D,E
A. Breast tenderness – A common early symptom caused by hormonal changes, especially increased progesterone and estrogen.
B. Palpable fetal parts – This is a probable sign because a healthcare provider can feel fetal movement or parts through abdominal palpation after mid-pregnancy.
C. Urinary frequency – Often occurs due to hormonal shifts and increased blood flow to the kidneys, as well as pressure from the growing uterus.
D. Amenorrhea (Absence of Menstruation) – A classic sign that often leads people to suspect pregnancy, caused by the hormonal suppression of the menstrual cycle.
E. Morning sickness – Nausea and vomiting commonly occur due to rising hCG (human chorionic gonadotropin) levels, typically starting around the 6th week of pregnancy.
F. Fetal heart rate detected by Doppler device – Considered a positive sign of pregnancy, as fetal heart tones confirm the presence of a living fetus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Pregnancy induced HTN: Not directly caused by increased blood volume; it's a separate pathologic condition.
B. Rise in BP: BP typically decreases in early pregnancy due to vasodilation.
C. Increased risk of DVT: Caused by hypercoagulable state, not solely by blood volume.
D. Physiologic anemia of pregnancy: Plasma volume increases more than RBC mass, diluting hemoglobin.
Correct Answer is A
Explanation
A. The mother is Rh negative, the baby is Rh positive
If fetal Rh+ blood enters maternal circulation, she may develop antibodies.
B. Both parents are Rh positive
Rh incompatibility is unlikely here.
C. The mother is Rh positive, and the baby is Rh negative
Rh+ mothers do not produce antibodies against Rh- blood.
D. Both parents are Rh negative
Baby will likely be Rh-; no incompatibility.
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