A nurse is teaching a client about positive signs of pregnancy.
Which of the following findings should the nurse include?

Fetal heart tones detected by ultrasound.

Breast tenderness.

Positive urine pregnancy test.

Fatigue.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A.

Choice A rationale:

Fetal heart tones detected by ultrasound are a positive sign of pregnancy because they provide direct evidence of a fetus.

Choice B rationale:

Breast tenderness is a presumptive sign of pregnancy, not a positive one, as it can be caused by other conditions such as premenstrual syndrome.

Choice C rationale:

A positive urine pregnancy test is a probable sign of pregnancy, not a positive one, as it measures the presence of hCG, a hormone produced during pregnancy. However, certain medications and medical conditions can also produce hCG.

Choice D rationale:

Fatigue is a presumptive sign of pregnancy, not a positive one, as it can be caused by various other conditions such as stress or illness.

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Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

While a urinary tract infection can cause frequent urination, it’s usually accompanied by other symptoms such as pain or burning during urination.

Choice B rationale:

Trauma to pelvic muscles can cause urinary incontinence, not necessarily increased frequency.

Choice C rationale:

Urinary overflow is a condition where the bladder is always full and can lead to frequent leakage of urine.

Choice D rationale:

Postpartum diuresis is the body’s way of getting rid of excess fluid accumulated during pregnancy, leading to increased urine production and frequency.

A. She did her perineal care independently. B. She is eager to talk about her birth experience. C. She has not asked for anything for pain all day. D. She sits and rocks her infant for long intervals.

Correct Answer is A

Explanation

The correct answer is choice A. She did her perineal care independently.

Choice A rationale:

Taking the initiative for caring for her newborn independently while managing her own postpartum needs marks the taking-hold phase of infant bonding.

Choice B rationale:

Being eager to talk about her birth experience is more associated with the taking-in phase, not the taking-hold phase.

Choice C rationale:

Not asking for anything for pain all day is not a specific indicator of the taking-hold phase.

Choice D rationale:

Sitting and rocking her infant for long intervals is not a specific indicator of the taking-hold phase.

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A nurse is teaching a client about positive signs of pregnancy.Which of the following findings should the nurse include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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A nurse is teaching a client about positive signs of pregnancy.
Which of the following findings should the nurse include?