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:

Chadwick's sign

Goodell's sign

Hegar's sign

Homan's sign

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is C

Explanation

Choice A Reason: This is incorrect because mosquitoes do not transmit HIV. HIV is a virus that infects human cells and cannot survive in insects. Mosquitoes do not inject blood from one person to another when they bite, but only saliva that contains anticoagulants and enzymes.

Choice B Reason: This is incorrect because accidental puncture wounds are not a common mode of HIV transmission. HIV can be transmitted through exposure to infected blood or body fluids, such as through needle sharing, blood transfusion, or occupational injury. However, these cases are rare and can be prevented by using sterile equipment, screening blood products, and following universal precautions.

Choice C Reason: This is correct because sexual contact is the most common mode of HIV transmission. HIV can be transmitted through unprotected vaginal, anal, or oral sex with an infected person, as these activities can involve contact with infected blood, semen, vaginal fluid, or pre-ejaculate.

Choice D Reason: This is incorrect because respiratory droplets do not transmit HIV. HIV is not an airborne virus and cannot be spread by coughing, sneezing, or breathing. HIV cannot be transmitted by casual contact, such as hugging, kissing, or sharing utensils.

A. February 24 B. January 18 C. January 25 D. February 18

Correct Answer is D

Explanation

Choice A Reason: This is incorrect because it is too early. Naegele's rule is a formula that estimates the date of birth by adding one year, subtracting three months, and adding seven days to the date of the last menstrual period. Applying this rule to April 11 gives February 18, not February 24.

Choice B Reason: This is incorrect because it is too early. Naegele's rule gives February 18, not January 18.

Choice C Reason: This is incorrect because it is too early. Naegele's rule gives February 18, not January 25.

Choice D Reason: This is correct because it follows Naegele's rule. Adding one year, subtracting three months, and adding seven days to April 11 gives February 18.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

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

Correct Answer is D

Explanation

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 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?

During a prenatal visit, a pregnant woman says, "I know the amniotic fluid is important, but can you tell me more about it?" When describing amniotic fluid to a pregnant woman, which description would the nurse most likely include?

While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of:

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

Complete the following sentence by using the best option: The client is at great risk for dropdownevidenced by the client's serum dropdown.

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

A nurse is assessing a client who may be pregnant. The nurse reviews the client's history for presumptive signs. Which signs would the nurse most likely note? Select all that apply.