A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have?
Chadwick's sign.
Hegar's sign.
a positive pregnancy test.
amenorrhea.
The Correct Answer is D
The correct answer is d. Amenorrhea.
Choice A: Chadwick’s sign is a non-specific, early sign of pregnancy that is typically characterized by a bluish discoloration of the cervix, vagina, and vulva. The Chadwick sign can typically be observed as early as six to eight weeks after conception, and commonly disappears shortly after birth. However, it’s not a definitive indication of pregnancy, and the absence of it on physical exam does not exclude a potential pregnancy.
Choice B: Hegar’s sign is a non-specific indication of pregnancy that is characterized by the compressibility and softening of the cervical isthmus (i.e., the portion of the cervix between the uterus and the vaginal portion of the cervix). It typically presents between the fourth and sixth week of pregnancy and may be present until the 12th week of pregnancy. However, the Hegar sign is not a definitive indication of pregnancy, and the absence of it does not exclude a potential pregnancy.
Choice C: A positive pregnancy test By 10 weeks, a home pregnancy test would almost certainly show a positive result if the woman is pregnant. This is because the hormone human chorionic gonadotropin (hCG), which is produced by the placenta after implantation of the embryo into the uterine wall, would be present in high enough levels to be detected by the test. However, a positive pregnancy test is not a presumptive sign of pregnancy, but rather a probable one.
Choice D: Amenorrhea, or the absence of menstrual periods, is often considered the most presumptive sign of pregnancy. This is because it’s one of the first noticeable signs of pregnancy for many women. By 10 weeks of gestation, the woman would likely have missed two menstrual periods if she usually has regular cycles. However, while amenorrhea is a common early sign of pregnancy, it can also be caused by various other conditions or factors such as stress, significant weight loss or gain, or certain medical conditions. Therefore, a missed period should be followed up with a pregnancy test to confirm pregnancy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Partial abruptio placentae is not the correct answer, as it does not always require delivery by cesarean section. Partial abruptio placentae is a condition where the placenta partially separates from the uterine wall before the baby is born. This can cause bleeding, pain, and fetal distress. Depending on the severity of the condition, the gestational age, and the fetal status, the delivery may be vaginal or cesarean.
Choice B reason: Ectopic pregnancy is not the correct answer, as it does not require delivery by cesarean section. Ectopic pregnancy is a condition where the fertilized egg implants outside the uterus, usually in the fallopian tube. This can cause bleeding, pain, and rupture of the tube. Ectopic pregnancy is not viable and needs to be removed surgically or treated with medication. It cannot result in a live birth².
Choice C reason: Eclampsia is not the correct answer, as it does not always require delivery by cesarean section. Eclampsia is a severe complication of preeclampsia, a condition where the pregnant woman develops high blood pressure and protein in the urine. Eclampsia can cause seizures, coma, and death for the mother and the baby. The only cure for eclampsia is delivery of the baby, which may be vaginal or cesarean depending on the maternal and fetal condition.
Choice D reason: Total placenta previa is the correct answer, as it always requires delivery by cesarean section. Total placenta previa is a condition where the placenta completely covers the cervix, the opening of the uterus. This can cause painless bleeding, preterm labor, and fetal distress. Vaginal delivery is impossible and dangerous, as it can cause severe bleeding and damage to the placenta and the baby. Cesarean section is the only safe way to deliver the baby.
Correct Answer is A
Explanation
Choice A reason: A miscarriage is defined as a spontaneous abortion of a fetus before the 20th week of gestation. It is a natural pregnancy loss that occurs before labor begins and is usually caused by chromosomal abnormalities, infections, or maternal health problems.
Choice B reason: A miscarriage is not often attributed to careless maternal behavior such as poor nutrition or excessive exercise. These factors may affect the quality of life of the mother and the fetus, but they are not the main causes of miscarriage. Most miscarriages are not preventable and are not the fault of the mother.
Choice C reason: A miscarriage that occurs before the 12th week of pregnancy may manifest only as moderate discomfort and blood loss, but this is not always the case. Some women may experience severe cramping, bleeding, and tissue passing from the vagina. Others may have no symptoms at all and only discover the miscarriage during a routine ultrasound.
Choice D reason: A miscarriage occurs in more than 5% of all clinically recognized pregnancies. The actual rate of miscarriage is estimated to be 10% to 20%, but many women may not realize they are pregnant or may not report the loss to their health care provider.
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