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. The child does not make eye contact. B. The child sits quietly in the caregiver's lap during the interview. C. The child smiles when the caregiver shows her a stuffed animal. D. The child cries and runs to the door when the caregiver leaves the room.

Correct Answer is A

Explanation

One of the common symptoms of autism spectrum disorder (ASD) is difficulty with social communication and interaction, which can include avoiding or not keeping eye contact.

Choice B is not an answer because sitting quietly in the caregiver’s lap during the interview is not a typical symptom of ASD.
Choice C is not an answer because smiling when shown a stuffed animal is not a typical symptom of ASD.
Choice D is not an answer because crying and running to the door when the caregiver leaves the room is not typical symptom of ASD.

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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

The nurse is collecting data on an 18-month-old child with a diagnosis of autism spectrum disorder (ASD). What clinical manifestation would likely have been noted in the child with this diagnosis?

Correct Answer is A

Explanation

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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.