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 C

Explanation

The correct answer is choice C.

Choice A rationale:

A 1-minute Apgar score of 5 points does not necessarily indicate a congenital heart defect or an immature respiratory system.

Choice B rationale:

An Apgar score of 5 points at 1 minute does not require immediate and aggressive interventions for survival.

Choice C rationale:

A 1-minute Apgar score of 5 points indicates that the infant is experiencing moderate difficulty in adjusting to extrauterine life.

Choice D rationale:

An Apgar score of 5 points at 1 minute does not indicate that the infant is adjusting well to extrauterine life.

A. Vitamin K. B. Erythromycin ophthalmic ointment. C. Gentamicin ophthalmic ointment. D. Silver nitrate solution.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Vitamin K is given to newborns to prevent bleeding disorders, not eye conditions.

Choice B rationale:

Erythromycin ophthalmic ointment is commonly used for prophylaxis of neonatal conjunctivitis (pink eye) caused by Neisseria gonorrhoeae and Chlamydia trachomatis.

Choice C rationale:

Gentamicin ophthalmic ointment can be used to treat bacterial infections of the eye, but it is not typically used for prophylaxis of neonatal eye conditions.

Choice D rationale:

Silver nitrate solution was once used for prophylaxis of neonatal eye conditions, but it is no longer commonly used due to the risk of chemical conjunctivitis.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse determines that a newborn has a 1-minute Apgar score of 5 points.What conclusion would the nurse make from this finding?.

Correct Answer is C

Explanation

In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?.

Correct Answer is B

Explanation

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Which documentation in the health record is most correct for the third stage of labor?

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