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A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes.

Order from the first in appearance to last.

Amenorrhea.

Goodell’s sign.

Quickening.

Lightening.

Answer and Explanation

The Correct Answer is A,B,C,D

The correct sequence of maternal changes from first to last is:

Amenorrhea (A) – This is usually the first sign of pregnancy, occurring due to increased progesterone levels and the absence of a menstrual period.
Goodell’s sign (B) – This refers to the softening of the cervix, which typically occurs around 6-8 weeks of pregnancy due to increased vascularization.
Quickening (C) – This is the first perception of fetal movement by the mother, usually felt between 16-20 weeks of pregnancy.
Lightening (D) – This occurs late in pregnancy (around 37-40 weeks) when the fetus descends into the pelvis in preparation for birth.

So, the correct order is:
A → B → C → D.

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Correct Answer is A

Explanation

Choice A rationale

Ultrasonography provides the most accurate assessment of gestational age, especially in the first trimester, by measuring the crown-rump length.

Choice B rationale

HCG levels can indicate pregnancy but are not as accurate for determining the exact gestational age.

Choice C rationale

Nagele's rule is based on the menstrual cycle and may not be accurate if cycles are irregular.

Choice D rationale

Fundal height measurement is less accurate in early pregnancy and more useful in later trimesters.

A. Two or more fetal heart rate accelerations within a 20-minute period. B. No late decelerations of the fetal heart rate. C. Late decelerations are present with a minimum of 50% of the contractions. D. Fetal heart rate accelerations less than 15 beats per minute or lasting less than 15 seconds.

Correct Answer is A

Explanation

Choice A rationale

A reactive nonstress test is defined as having two or more fetal heart rate accelerations of at least 15 beats per minute lasting 15 seconds or more within a 20-minute period.

Choice B rationale

No late decelerations of the fetal heart rate do not define a reactive nonstress test, which focuses on fetal heart rate accelerations as indicators of fetal well-being.

Choice C rationale

The presence of late decelerations in more than 50% of contractions indicates uteroplacental insufficiency and fetal distress, not a reactive nonstress test which requires accelerations.

Choice D rationale

Fetal heart rate accelerations less than 15 beats per minute or lasting less than 15 seconds do not meet the criteria for a reactive nonstress test, which requires accelerations of 15 beats per minute lasting 15 seconds or more.

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A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes. Order from the first in appearance to last.

Nursing Test Bank

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Correct Answer is A

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A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes. Order from the first in appearance to last.

A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes.

Order from the first in appearance to last.