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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Pregnant vegans should ensure they are getting enough vitamin B12, which is essential for the development of the infant’s nervous system.
Vitamin B12 is found almost exclusively in animal products, so vegans should consume fortified foods such as cereals or take a supplement to ensure they are getting enough of this important nutrient.
Choice B, Milk, and cheese, is not correct because it is not vegan.
Choice C, Nuts, seeds, and chocolate, is not correct because it does not address the need for vitamin B12.
Choice D, Carrots, sweet potatoes, and mangoes, is not correct because it does not address the need for vitamin B12.

A. A client who has a blood pressure of 140/90 mm Hg. B. A client who has a menstrual cycle every 14 days. C. A client who has a hematocrit of 39%. D. A 15-year-old client who has acne.

Correct Answer is A

Explanation

A client who has a blood pressure of 140/90 mm Hg. Hypertension is a contraindication to oral contraceptives.
Choice B is incorrect because having a menstrual cycle every 14 days is not a contraindication to oral contraceptives.
Choice C is incorrect because having a hematocrit of 39% is not a contraindication to oral contraceptives.
Choice D is incorrect because being 15 years old and having acne is not a contraindication to oral contraceptives.

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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?

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Explanation

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Correct Answer is A

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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?