The nurse is conducting an annual examination on a young female who reports her last menses was 2 months ago.
Although the client insists she is not pregnant due to a negative home pregnancy test, which assessment should the nurse prioritize to assess for a possible pregnancy?
A positive urine hCG.
Uterine size and shape changes.
A fetal heartbeat.
Chadwick's sign.
The Correct Answer is A
A positive urine hCG test is a priority assessment to assess for a possible pregnancy.
The human chorionic gonadotropin (hCG) hormone is produced by the placenta after implantation and can be detected in the urine of pregnant women.
A urine hCG test is a common method used to confirm pregnancy.
Choice B is not an answer because changes in uterine size and shape occur later in pregnancy and are not a priority assessment for early pregnancy detection.
Choice C is not an answer because a fetal heartbeat can usually be detected at around 6-7 weeks of pregnancy and is not a priority assessment for early pregnancy detection.
Choice D is not an answer because Chadwick’s sign, which refers to the bluish discoloration of the cervix, vagina, and vulva due to increased blood flow, occurs later in pregnancy and is not a priority assessment for early pregnancy detection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Amniotic fluid helps cushion the baby12.
It acts as a shock absorber and protects the fetus from injury should the mother’s abdomen be subject to trauma or sudden impact.
Choice A is incorrect because the amniotic fluid does not provide oxygen to the fetus.
Oxygen is provided to the fetus through the umbilical cord.
Choice B is incorrect because amniotic fluid is not how the baby is fed. The baby receives nutrients through the umbilical cord.
Choice D is incorrect because while amniotic fluid does have some antibacterial properties2, it does not prevent viruses from passing to the baby.
Correct Answer is D
Explanation
On average, by 3 years of age, children can walk up and down stairs, one foot per step, with no support.
Choice A is incorrect because it is not developmentally appropriate for a 4-year-old child to place both feet on each step and hold on to the railing while descending stairs.
Choice B is incorrect because it is not developmentally appropriate for a 6-year-old child to place both feet on each step and hold on to the railing while descending stairs.
Choice C is incorrect because it is not developmentally appropriate for a 5-year-old child to place both feet on each step and hold on to the railing while descending stairs.
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