The nurse teaches a pregnant patient about the signs of pregnancy. The patient demonstrates understanding when she states that a positive sign of pregnancy is:
quickening experienced by the patient.
patient reports of a positive pregnancy test.
Braxton Hicks contractions felt by the patient.
fetal movement palpated by the provider.
The Correct Answer is D
A. Quickening experienced by the patient is incorrect because quickening (the first perception of fetal movement by the mother) is considered a presumptive sign of pregnancy, not a positive sign. While it suggests pregnancy, it can be mistaken for gastrointestinal activity.
B. Patient reports of a positive pregnancy test is incorrect because this is a probable sign of pregnancy. Laboratory tests detecting human chorionic gonadotropin (hCG) are more reliable than presumptive signs, but they can occasionally give false positives (e.g., due to certain medications or medical conditions).
C. Braxton Hicks contractions felt by the patient is incorrect because these are also presumptive or possible signs of pregnancy. They indicate uterine activity, but they do not confirm the presence of a fetus.
D. Fetal movement palpated by the provider is correct. This is considered a positive sign of pregnancy, as only a developing fetus can cause these movements to be felt by an examiner. Other positive signs include visualization of the fetus on ultrasound and auscultation of the fetal heartbeat. Positive signs provide definitive confirmation of pregnancy, distinguishing them from presumptive or probable signs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Expression of bedtime fears is common is correct because toddlers commonly experience fears related to separation, darkness, or unfamiliar situations. These fears are a normal part of emotional and cognitive development and should be addressed with reassurance and consistent routines.
B. Importance of annual screenings for phenylketonuria is incorrect because PKU screening is performed at birth through newborn screening. Routine annual screening is not part of anticipatory guidance for toddlers.
C. Develop food habits that will prevent dental caries is correct because toddlers are at increased risk for dental caries. Guidance should include limiting sugary foods and drinks, avoiding bedtime bottles with milk or juice, and promoting good oral hygiene habits.
D. Significance of potty training by 18 months is incorrect because readiness for toilet training varies widely. Most toddlers are not developmentally ready until 18–24 months or later, and forcing early training can lead to frustration and setbacks.
Correct Answer is D
Explanation
A. Pull the baby out forcefully by the head with forceps is incorrect because forceful traction can cause severe injury to the baby, including brachial plexus injury, clavicle fracture, or intracranial hemorrhage. This is not recommended for shoulder dystocia.
B. Apply gentle upward traction on the baby's head is incorrect because while gentle traction is part of standard delivery, upward traction alone is usually insufficient to resolve shoulder dystocia and may risk injury if used improperly.
C. Wait for the mother to push the shoulders out naturally is incorrect because shoulder dystocia is an obstetric emergency. Delaying intervention can lead to hypoxia, birth asphyxia, or fetal injury, so immediate maneuvers are required.
D. Place the mother in McRoberts maneuver position and apply suprapubic pressure is correct. The McRoberts maneuver involves flexing the mother’s hips tightly toward her abdomen, which flattens the sacral promontory and increases the pelvic diameter. Simultaneously, suprapubic pressure helps dislodge the impacted anterior shoulder. This is the first-line, evidence-based intervention for shoulder dystocia and reduces the risk of fetal and maternal complications.
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