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
Choice A rationale:
Adjusting the insulin dosage without proper medical guidance can be dangerous for a child with diabetes. Giving half the regular morning dose without considering the child's current blood glucose levels can lead to hypoglycemia, a potentially life-threatening condition. This choice is unsafe and incorrect.
Choice B rationale:
Substituting simple carbohydrates or calorie-containing liquids for solid foods might help maintain the child's blood glucose levels to some extent. However, it's crucial to ensure that the child's overall nutritional needs are met. In cases of illness, monitoring blood glucose levels and consulting with a healthcare provider are essential. This choice, while not the best option, could be a temporary measure if the child is not eating solid foods due to illness.
Choice C rationale:
Giving the child plenty of unsweetened, clear liquids is the most appropriate choice. This helps prevent dehydration, a common concern when a child is not eating or drinking adequately due to illness. Clear liquids, such as water, clear broths, or oral rehydration solutions, can help maintain hydration and provide some electrolytes. It's essential for parents to monitor the child's condition closely and seek medical advice if the child's condition worsens.
Choice D rationale:
Taking the child directly to the emergency department is not necessary if the child is only experiencing a minor illness and is not eating. However, if the child shows signs of severe dehydration, persistent vomiting, or other concerning symptoms, seeking medical attention promptly is crucial. In the absence of these severe symptoms, choice C is the most appropriate course of action.
Correct Answer is ["A","B"]
Explanation
Choice A rationale:
The cuff labeled "toddler" is an appropriate criterion for selecting the right-sized blood pressure cuff for a 2-year-old boy. Pediatric blood pressure cuffs are available in different sizes, and using a cuff specifically labeled for toddlers ensures a proper fit and accurate blood pressure measurement.
Choice B rationale:
The cuff bladder width being approximately 40% of the circumference of the upper arm is a correct criterion. Using a cuff with an appropriate width ensures that the cuff covers a significant portion of the upper arm, allowing for accurate blood pressure measurement. A cuff that is too narrow or too wide can lead to inaccurate readings.
Choice C rationale:
The cuff bladder length covering 80% to 100% of the circumference of the upper arm is an incorrect criterion. The length of the cuff bladder should cover about 80% of the upper arm's circumference, not 80% to 100%. Using a cuff that is too long can result in falsely low blood pressure readings.
Choice D rationale:
The cuff bladder covering 50% to 66% of the length of the upper arm is an incorrect criterion. The bladder width, which covers the circumference of the upper arm, is more critical than the length. The width should be approximately 40% of the upper arm's circumference for accurate blood pressure measurement in children.
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