A nurse caring for a client in the prenatal clinic states that the patient is clearly pregnant because both the mother and examiner are able to feel the baby move.Which of the following signs of pregnancy is occurring?

This is a possible sign of pregnancy.

This is a positive sign of pregnancy.

This is a presumptive sign of pregnancy.

This is a probable sign of pregnancy.

Answer and Explanation

The Correct Answer is B

Choice A rationale

A possible sign of pregnancy includes symptoms that are suggestive but not definitive, such as amenorrhea (absence of menstruation) or fatigue. These signs can have multiple causes and are not conclusive proof of pregnancy.

Choice B rationale

A positive sign of pregnancy includes objective evidence like fetal movement felt by the examiner, fetal heart sounds detected, or visualization of the fetus on ultrasound. These signs provide direct confirmation of pregnancy.

Choice C rationale

Presumptive signs of pregnancy are subjective experiences reported by the patient, such as nausea, breast tenderness, or quickening (feeling fetal movement). These signs are not confirmatory as they can occur in other conditions.

Choice D rationale

Probable signs of pregnancy include objective findings observed by a healthcare provider, such as uterine enlargement, but they are not definitive as they can also be caused by conditions like fibroids.

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Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Basal body temperature drops slightly for 24-48 hours before ovulation, indicating the most fertile period.

Choice B rationale

Luteinizing hormone surges just before ovulation, triggering the release of an egg from the ovary.

Choice C rationale

Vaginal acidity does not significantly decrease during ovulation; it remains relatively constant.

Choice D rationale

Libido often rises during ovulation due to hormonal changes, which can increase the chances of conception.

A. Administer betamethasone 12 mg IM. B. Prepare the client for immediate delivery. C. Administer hydralazine 25 mg IV. D. Infuse a bolus of IV fluid.

Correct Answer is A

Explanation

Choice A rationale

Administering betamethasone 12 mg IM helps accelerate fetal lung maturity by stimulating the production of surfactant. This is crucial for a preterm baby, as immature lungs are one of the biggest risks in preterm labor. Administering betamethasone can significantly improve neonatal outcomes by reducing respiratory distress syndrome and other complications related to prematurity.

Choice B rationale

Preparing the client for immediate delivery is not the first action as the primary goal in managing preterm labor with an L/S ratio of 1: is to delay labor and enhance fetal lung maturity. Betamethasone administration is prioritized to maximize fetal lung development before considering delivery.

Choice C rationale

Administering hydralazine 25 mg IV is used to manage hypertension and is unrelated to enhancing fetal lung maturity in preterm labor. It is not indicated in this situation as the primary concern is not managing blood pressure.

Choice D rationale

Infusing a bolus of IV fluid might be used to manage preterm labor but does not directly address the need to improve fetal lung maturity. The main priority is administering steroids like betamethasone to expedite fetal lung development.

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A nurse caring for a client in the prenatal clinic states that the patient is clearly pregnant because both the mother and examiner are able to feel the baby move.Which of the following signs of pregnancy is occurring?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client asks the nurse how a woman can recognize when she is ovulating.Which should be the nurse's responses? (Select all that Apply)

Correct Answer is ["A","B","D"]

Explanation

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Correct Answer is A

Explanation

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