Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as

linea nigra

pica

ballottement

quickening

Answer and Explanation

The Correct Answer is B

Choice A Reason: Linea nigra is a dark vertical line that appears on the abdomen of some pregnant women. It is caused by increased melanin production and usually fades after delivery.

Choice B Reason: Pica is a condition in which a person has an abnormal desire to eat substances that are not food, such as ice, clay, dirt, or chalk. It is more common in pregnant women and may indicate a deficiency in iron or other nutrients.

Choice C Reason: Ballottement is a technique of palpating a floating structure by bouncing it gently and feeling it rebound. In obstetrics, it can be used to detect the presence of the fetus by feeling its head move when the cervix is tapped.

Choice D Reason: Quickening is the first perception of fetal movements by the pregnant woman. It usually occurs between 16 and 20 weeks of gestation.

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Correct Answer is A

Explanation

Choice A Reason: This is correct because Chadwick's sign is a bluish or purplish discoloration of the cervix, vagina, and vulva caused by increased blood flow to the pelvic area during pregnancy. It is one of the earliest signs of pregnancy and can be observed as early as six to eight weeks of gestation.

Choice B Reason: This is incorrect because Goodell's sign is a softening of the cervix due to increased vascularity and edema during pregnancy. It is another early sign of pregnancy and can be detected by palpation around six to eight weeks of gestation.

Choice C Reason: This is incorrect because Hegar's sign is a softening of the lower uterine segment or isthmus during pregnancy. It is also an early sign of pregnancy and can be felt by bimanual examination around six to twelve weeks of gestation.

Choice D Reason: This is incorrect because Homan's sign is a pain in the calf or popliteal region when the foot is dorsiflexed. It is a sign of deep vein thrombosis, which is a potential complication of pregnancy, but not a normal finding.

A. Recurrent pelvic infections B. Ovarian cyst 2 years ago C. Use of oral contraceptives for 8 years D. Heavy, irregular periods

Correct Answer is A

Explanation

Choice A Reason: This is correct because recurrent pelvic infections, such as pelvic inflammatory disease (PID), can cause scarring and inflammation of the fallopian tubes, which can impair the normal movement of the fertilized egg to the uterus. This can increase the risk of ectopic pregnancy, which is a life-threatening condition where the fertilized egg implants outside the uterine cavity, usually in the fallopian tube.

Choice B Reason: This is incorrect because ovarian cysts are fluid-filled sacs that develop in or on the ovaries. They are usually benign and do not affect fertility or pregnancy. However, some types of ovarian cysts, such as endometriomas or dermoid cysts, may require surgery to remove them, which can cause damage to the ovaries or fallopian tubes and increase the risk of ectopic pregnancy.

Choice C Reason: This is incorrect because use of oral contraceptives for 8 years is not a risk factor for ectopic pregnancy. In fact, oral contraceptives can reduce the risk of ectopic pregnancy by preventing ovulation and fertilization. However, if a woman becomes pregnant while taking oral contraceptives, she should stop taking them and consult her doctor, as they may have adverse effects on the developing fetus.

Choice D Reason: This is incorrect because heavy, irregular periods are not a risk factor for ectopic pregnancy. They may indicate other conditions such as hormonal imbalance, uterine fibroids, polycystic ovary syndrome (PCOS), or endometriosis, which can affect fertility or pregnancy, but not necessarily cause ectopic pregnancy.

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Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as

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Naxlex Comprehensive Predictor Exams

On the first prenatal visit, examination of the woman's internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse documents this finding as:

Correct Answer is A

Explanation

Which information on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy?

Correct Answer is A

Explanation

A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care?

A pregnant woman in the 36th week of gestation reports that her feet are quite swollen at the end of the day. After careful assessment, the nurse determines that this is an expected finding at this stage of pregnancy. Which intervention is appropriate for the nurse to suggest?

A client comes to the prenatal clinic for her first visit. When determining the client's estimated due date, the nurse understands that which method is the most accurate?

A client's last menstrual period was April 11. Using Nägele's rule, her estimated date of birth (EDB) would be:

A pregnant woman is admitted with premature rupture of the membranes. The nurse is assessing the woman closely for possible infection. Which findings would lead the nurse to suspect that the woman is developing an infection? Select all that apply.

Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?

When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes which goal as the primary one?