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:

Cervix dilation of 5 cm with 50% effacement is a sign of active phase of the first stage of labor, not the end of it.

Choice B rationale:

Rupturing of fetal membranes can occur at any time during labor, not specifically at the end of the first stage.

Choice C rationale:

Start of regular contractions is a sign of the onset of labor, not the end of the first stage.

Choice D rationale:

Cervix dilation of 10 cm with 100% effacement indicates the end of the first stage of labor and the beginning of the second stage.

A. To the right of the umbilicus. B. 2 cm above the umbilicus. C. One fingerbreadth above the symphysis pubis. D. At the level of the umbilicus.

Correct Answer is D

Explanation

The correct answer is choice D. At the level of the umbilicus.

Choice A rationale:

The uterine fundus is not typically found to the right of the umbilicus after delivery.

Choice B rationale:

The uterine fundus is not typically found 2 cm above the umbilicus after delivery.

Choice C rationale:

The uterine fundus is not typically found one fingerbreadth above the symphysis pubis after delivery.

Choice D rationale:

After delivery, the uterine fundus is typically found at the level of the umbilicus.

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