During a vaginal exam, the nurse notes that the lower uterine segment is softened. The nurse documents this finding as:

Ortolani's sign

Chadwick's sign

Goodell's sign

Hegar's sign

Answer and Explanation

The Correct Answer is D

Choice A Reason: This is incorrect because Ortolani's sign is a test for hip dysplasia in infants, not a sign of pregnancy. It involves moving the infant's legs to check for a clicking sound in the hip joint.

Choice B Reason: This is incorrect because Chadwick's sign is a bluish or purplish discoloration of the cervix, vagina, and vulva during pregnancy, not a softening of the lower uterine segment. It is caused by increased blood flow to the pelvic area.

Choice C Reason: This is incorrect because Goodell's sign is a softening of the cervix during pregnancy, not a softening of the lower uterine segment. It is caused by increased vascularity and edema of the cervical tissue.

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

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A Reason: This is correct because cloudy malodorous fluid indicates that the amniotic fluid is contaminated with bacteria or other microorganisms that can cause infection in the woman or the fetus. Normally, amniotic fluid is clear and odorless.

Choice B Reason: This is correct because abdominal tenderness suggests that the woman has inflammation or irritation of the uterus or other pelvic organs due to infection. Abdominal tenderness can also be accompanied by cramping, pain, or fever.

Choice C Reason: This is correct because fetal bradycardia, which is a slow fetal heart rate below 110 beats per minute, indicates that the fetus is experiencing distress or hypoxia due to infection. Fetal bradycardia can be detected by electronic fetal monitoring or Doppler device.

Choice D Reason: This is correct because elevated maternal pulse rate, which is a heart rate above 100 beats per minute, indicates that the woman has an increased metabolic demand or systemic inflammation due to infection. Elevated maternal pulse rate can also be caused by dehydration, anxiety, or pain.

Choice E Reason: This is incorrect because decreased C-reactive protein levels do not indicate infection. C-reactive protein (CRP) is a protein that is produced by the liver in response to inflammation or infection. Increased CRP levels can be a sign of infection, but decreased CRP levels can be normal or indicate other conditions such as liver disease or malnutrition.

Correct Answer is ["2"]

Explanation

Step 1: Determine the total daily dose of quetiapine.

The provider prescribes 50 mg every 12 hours.
Total daily dose = 50 mg × 2 = 100 mg.

Step 2: Calculate the total dose for 3 days.

Total dose for 3 days = 100 mg × 3 = 300 mg.

Step 3: Determine the dose per administration.

The total daily dose is divided into two doses (every 12 hours).
Dose per administration = 100 mg ÷ 2 = 50 mg.

Step 4: Calculate the number of tablets needed per dose.

Each tablet is 25 mg.
Number of tablets per dose = 50 mg ÷ 25 mg = 2 tablets.

Step 5: Confirm the number of tablets to be administered per dose on day 3.

The dose per administration remains the same each day.
Therefore, the nurse should administer 2 tablets per dose on day 3.

So, the nurse should administer 2 tablets per dose on day 3.

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During a vaginal exam, the nurse notes that the lower uterine segment is softened. The nurse documents this finding as:

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Naxlex Comprehensive Predictor Exams

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.

Correct Answer is ["A","B","C","D"]

Explanation

A provider prescribes quetiapine 50 mg PO divided equally every 12 hours for 3 days. Available is quetiapine 25 mg tablets. How many tablets should the nurse administer per dose on day 3? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A woman comes to the prenatal clinic suspecting that she is pregnant, and assessment reveals probable signs of pregnancy. Which findings would the nurse most likely assess? Select all that apply.

A pregnant woman undergoes a triple/quadruple screen at 16 to 18 weeks' gestation. What would the nurse suspect if the woman's alpha-fetoprotein (AFP) level is decreased?

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

A nurse suspects that a pregnant client may be experiencing placenta abruption based on assessment of which finding? Select all that apply.

A pregnant woman undergoes a triple/quadruple screen at 16 to 18 weeks' gestation. What would the nurse suspect if the woman's alpha-fetoprotein (AFP) level is decreased?

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 nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?

A nurse is conducting an in-service program for a group of nurses working at the women's health facility about the causes of spontaneous abortion. The nurse determines that the teaching was successful when the group identifies which condition as the most common cause of first trimester abortions?