Which of the following are NOT considered presumptive signs of pregnancy? (Select all that apply.)

Quickening

Amenorrhea

Ballottement

Increased urination

Positive pregnancy test via blood work

Answer and Explanation

Correct Answer : C,E

A. Quickening – Incorrect; quickening (fetal movement) is a presumptive sign of pregnancy.
B. Amenorrhea – Incorrect; absence of menstruation is a presumptive sign of pregnancy.
C. Ballottement – Correct; ballottement is a probable sign, not a presumptive sign, as it is detected by a healthcare provider.
D. Increased urination – Incorrect; frequent urination is a presumptive sign of pregnancy.
E. Positive pregnancy test via blood work – Correct; a positive pregnancy test is a probable sign, not a presumptive one.

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Correct Answer is C

Explanation

A. Feel for a full bladder. – Incorrect; a full bladder can contribute to postpartum bleeding, but checking fundal firmness should be prioritized first.

B. Request the provider perform a vaginal examination. – Incorrect; the nurse should assess the fundus and attempt interventions first before calling the provider.

C. Check the client’s fundus. – Correct; the priority action is to assess the fundus for firmness, as a boggy uterus is the most common cause of postpartum hemorrhage.

D. Measure the client’s vital signs. – Incorrect; while vital signs are important, assessing fundal tone and initiating interventions come first.

A. Notify social services. B. Ask the parents what caused the bruises. C. Ask the toddler what caused the bruises. D. Notify the provider.

Correct Answer is B

Explanation

A. Notify social services – Not the first action; the nurse must assess the situation before reporting.
B. Ask the parents what caused the bruises – Correct; gathering information helps differentiate normal bruising from possible abuse.
C. Ask the toddler what caused the bruises – Not the best initial approach, as toddlers may not provide reliable explanations.
D. Notify the provider – Appropriate but should come after assessing the situation.

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Which of the following are NOT considered presumptive signs of pregnancy? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

Which of the following terms is used to describe the thinning and shortening of the cervix that occurs just before and during labor?

When a child is hospitalized, which of the following would be an example of regression?

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

The nurse understands that a potential benefit of oral rehydration solution (ORS) in children with diarrhea is the:

A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?

A nurse assisting in the care of a client, places the tocodynamometer (TOCO) transducer on a client's fundus and secures it in place. The client asks the nurse to explain the purpose of the monitoring device. Which of the following responses should the nurse make?

A nurse is assisting with the care of a client who is in latent labor. Which of the following nursing actions reflects the application of the gate control theory of pain?

A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select all that apply.)