The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy.
The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is:.
A positive pregnancy test.
Fetal movement palpated by the nurse-midwife.
Braxton Hicks contractions.
Quickening.
The Correct Answer is B
The correct answer is choice b. Fetal movement palpated by the nurse-midwife.
Choice A rationale:
A positive pregnancy test is considered a probable sign of pregnancy, not a positive sign. Probable signs are those that strongly suggest pregnancy but are not definitive.
Choice B rationale:
Fetal movement palpated by the nurse-midwife is a positive sign of pregnancy. Positive signs are those that provide definitive evidence of pregnancy, such as fetal heart tones heard by a Doppler device or ultrasound visualization of the fetus.
Choice C rationale:
Braxton Hicks contractions are considered a probable sign of pregnancy. These are irregular, painless contractions that can occur throughout pregnancy but do not confirm pregnancy definitively.
Choice D rationale:
Quickening, or the first feeling of fetal movement by the mother, is a presumptive sign of pregnancy. Presumptive signs are those that the woman experiences and reports, which may suggest pregnancy but are not conclusive.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice c. Verbalizing the importance of monitoring for medication side effects.
Choice A rationale:
Relieving constipation is not typically a priority for patients with Graves’ disease, as constipation is not a common symptom of this condition.
Choice B rationale:
While involving adolescents in their care decisions is important, allowing them to decide whether or not to take medication is not appropriate. Adherence to medication is crucial for managing Graves’ disease.
Choice C rationale:
Verbalizing the importance of monitoring for medication side effects is essential. Graves’ disease treatment often involves medications that can have significant side effects, and monitoring these is critical for effective management and patient safety.
Choice D rationale:
Developing alternative educational goals is not directly related to the immediate management of Graves’ disease. While educational support is important, it is not the primary nursing goal in this context.
Correct Answer is C
Explanation
Choice A rationale:
Rh incompatibility occurs when an Rh-negative mother is exposed to Rh-positive fetal blood, leading to the development of antibodies against Rh-positive blood cells. In this scenario, the infant of an Rh-negative mother and an Rh-positive father who is heterozygous for the Rh factor (Choice C) is more likely to have Rh incompatibility. This is because there is a higher chance that the fetus will be Rh-positive, and the mother, being Rh-negative, may produce antibodies against the Rh-positive cells of the baby, causing hemolytic disease of the newborn.
Choice B rationale:
If both the mother and the infant are Rh-negative (Choice B), there is no Rh incompatibility, as there is no Rh-positive blood to trigger an immune response in the mother.
Choice D rationale:
If both the mother and the infant are Rh-positive (Choice D), there is also no Rh incompatibility, as there is no Rh-negative blood to cause an immune reaction in the mother.
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