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.
The Correct Answer is B
Choice A rationale
Possible signs of pregnancy include symptoms like nausea, but feeling the baby move is not one of them.
Choice B rationale
Feeling fetal movements felt by both the mother and examiner is a positive sign of pregnancy as it confirms fetal presence.
Choice C rationale
Presumptive signs of pregnancy are symptoms felt by the woman, such as missed periods, but not confirmed fetal movements.
Choice D rationale
Probable signs include changes observed by an examiner, like a positive pregnancy test, but not confirmed fetal movements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
This represents 5 pregnancies (2 elective abortions, 1 twin birth, 1 spontaneous twin abortion, and current pregnancy), 1 term birth, 0 preterm births, 2 abortions (excluding current pregnancy), and 1 living child.
Choice B rationale
Incorrect because it lists 1 term birth and 3 abortions, which does not accurately reflect the client's history.
Choice C rationale
Incorrect because it states 4 pregnancies and 2 living children, missing the current pregnancy and miscounting the living children.
Choice D rationale
Incorrect as it accounts for 3 pregnancies, incorrectly summing the term birth and spontaneous abortions without considering the current pregnancy.
Correct Answer is B
Explanation
Choice A rationale
Hepatitis B immune globulin at 1 week followed by hepatitis B vaccine monthly for 6 months is incorrect. This schedule delays the immune response and leaves the infant unprotected during the critical early period when the risk of transmission is highest.
Choice B rationale
Hepatitis B immune globulin and hepatitis B vaccine within 12 hr of birth is the correct approach. This combination provides immediate passive immunity through the immune globulin and active immunity through the vaccine, significantly reducing the risk of hepatitis B transmission from mother to child.
Choice C rationale
Hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen is incorrect. Monthly administration alone is insufficient without the initial dose of immune globulin, especially since the infant may remain at risk until the negative test result.
Choice D rationale
Hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days is incorrect. The delay in the first vaccine dose reduces its efficacy, and the immune globulin schedule does not align with established guidelines for preventing hepatitis B transmission.
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