A client is at the antepartal clinic for a pregnancy test.Which finding, if present, would be considered a positive sign of pregnancy?
Quickening.
Uterine enlargement.
Urinary frequency.
Presence of human chorionic gonadotropin (hCG) in blood.
The Correct Answer is D
The correct answer is choice D. Presence of human chorionic gonadotropin (hCG) in blood. This is a positive sign of pregnancy that can only be attributed to a fetus. hCG is a hormone produced by the placenta that can be detected in blood or urine tests.
Choice A. Quickening. This is a presumptive sign of pregnancy that is based on the woman’s report of feeling fetal movements in her lower abdomen. This can occur at 16 weeks for second time moms and around 20 weeks for first time moms. However, this sign is not conclusive as other conditions can cause similar sensations.
Choice B. Uterine enlargement. This is a probable sign of pregnancy that can be observed by the nurse or doctor through palpation. However, this sign does not mean 100% that a baby is growing in the uterus as it can be due to other causes such as fibroids or tumors.
Choice C. Urinary frequency. This is a presumptive sign of pregnancy that is based on the woman’s report of needing to urinate more often than usual. This can be caused by hormonal changes and increased blood volume during pregnancy. However, this sign is not definitive as other conditions such as urinary tract infections or diabetes can also cause frequent urination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B.“The placenta was blocking the opening of the womb.”
This statement shows that the patient understands that placenta previa is a condition where the placenta covers or is near the internal os of the cervix, which prevents a safe vaginal delivery.The patient would need a cesarean delivery to avoid bleeding and complications.
Choice A is wrong because it describes placental abruption, not placenta previa.
Placental abruption is when the placenta separates from the uterine wall before delivery, which can cause severe bleeding and fetal distress.
Choice C is wrong because it describes a normal position of the placenta at the top of the womb.
This does not interfere with vaginal delivery and does not cause bleeding.
Choice D is wrong because it describes placenta increta or percreta, not placenta previa.
Placenta increta or percreta is when the placenta grows too deeply into or through the uterine wall, which can cause severe bleeding and damage to the uterus and other organs.
Correct Answer is C
Explanation
The correct answer is choice C. Arrange for her to meet the staff who will be caring for her during labor and delivery.This measure can help reduce the anxiety and fear of the unknown that a primigravida may have in the last month of pregnancy.Meeting the staff can also help establish rapport and trust, which are essential for a positive birth experience.
Choice A is wrong because an increase in fetal activity does not necessarily require an increase in the need to rest.
Fetal activity is normal and expected, and the mother should monitor it regularly.Resting may help with some discomforts of pregnancy, but it is not directly related to fetal activity.
Choice B is wrong because back labor is not likely for a primigravida with an uncomplicated pregnancy.
Back labor occurs when the fetus is in an occiput posterior position, which puts pressure on the mother’s spine and causes intense pain in the lower back.This position is more common in multiparous women than primigravidas.
Choice D is wrong because testing urine for glucose is not a routine measure for a primigravida with an uncomplicated pregnancy.
Urine glucose testing is done for women who have gestational diabetes or are at risk of developing it.It is not necessary for women who have normal blood glucose levels.
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