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 D
Explanation
In patients with Duchenne muscular dystrophy (DMD), creatine kinase levels are often increased to levels that are 50-100 times the reference range.
Choice A is incorrect because lactate dehydrogenase is not typically elevated in DMD.
Choice B is incorrect because C-reactive protein is not typically elevated in DMD.
Choice C is incorrect because the erythrocyte sedimentation rate is not typically elevated in DMD.
Correct Answer is A
Explanation
This statement shows empathy and support for the client.
It also encourages the client to engage in self-care activities and promotes independence.
Choice B is not appropriate because it is a threat and does not show empathy or support for the client.
Choice C is not appropriate because it encourages the client to remain passive and does not promote independence.
Choice D is not appropriate because it is confrontational and does not show empathy or support for the client.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today