A client arrives at the clinic very excitedly and reports a positive home pregnancy test.

The nurse cautions that the home pregnancy test is considered a presumptive sign and will assess the client for which sign to confirm pregnancy.

Chadwick's sign.

Hegar's sign.

Positive office pregnancy test.

Fetal movement felt by examiner.

Answer and Explanation

The Correct Answer is C

The proof of pregnancy is in the pregnancy test.
A positive office pregnancy test would confirm the pregnancy.

Choice A, Chadwick’s sign, is not correct because it is not a definitive sign of pregnancy.
Choice B, Hegar’s sign, is also not correct because it is not a definitive sign of pregnancy.
Choice D, Fetal movement felt by the examiner, is not correct because it is not a definitive sign of pregnancy.

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Correct Answer is A

Explanation

The correct answer is a. Positive Moro reflex.

Choice A reason:

Positive Moro reflex: This reflex should disappear by 6 months of age. Its presence at 9 months indicates potential neurological issues.

Choice B reason:

Negative Doll’s eye reflex: This reflex, indicating brainstem function, should be positive in infants. A negative result suggests severe brainstem dysfunction

Choice C reason:

Positive Babinski reflex: This reflex is normal up to 2 years of age. It indicates normal neurological development in infants.

Choice D reason:

Negative Crawl reflex: Crawling typically develops between 6-10 months. A negative crawl reflex at 9 months could indicate developmental delays

A. Infection. B. Potassium deficiency. C. Bleeding. D. Hyperbilirubinemia.

Correct Answer is C

Explanation

The purpose of administering vitamin K to a newborn following delivery is to prevent bleeding.
Vitamin K helps blood to clot and is essential in preventing serious bleeding in infants.

Choice A is not an answer because administering vitamin K does not prevent infection.
Choice B is not an answer because administering vitamin K does not prevent potassium deficiency.
Choice D is not an answer because administering vitamin K does not prevent hyperbilirubinemia.

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A client arrives at the clinic very excitedly and reports a positive home pregnancy test. The nurse cautions that the home pregnancy test is considered a presumptive sign and will assess the client for which sign to confirm pregnancy.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a 9-month-old infant. Which of the following findings requires a nursing intervention?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a new mother about the purpose of administering vitamin K to her newborn following delivery. The nurse should explain that the purpose of administering vitamin K is to prevent which of the following complications?

Correct Answer is C

Explanation

A nurse is collecting data on an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following manifestations should the nurse expect to find?

A nurse is caring for a client who has acute osteomyelitis. The client asks the nurse to explain how she developed the infection. The nurse should respond that which of the following organisms is the most common cause?

The nursing instructor is preparing to illustrate the various changes between the nonpregnant and pregnant female bodies. The instructor should point out that the blood volume in the pregnant woman can increase by what percentage?

A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider?

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

A nurse is assisting with the care of a newly-admitted client who has acute osteomyelitis. Which of the following interventions is the priority for the nurse to implement?

A nurse is caring for a 2-week-old infant whose mother requests additional information about sudden infant death syndrome (SIDS). Which of the following responses should the nurse make?

A nurse is collecting data from a client who has skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?

A client arrives at the clinic very excitedly and reports a positive home pregnancy test.

The nurse cautions that the home pregnancy test is considered a presumptive sign and will assess the client for which sign to confirm pregnancy.