A client in the prenatal clinic believes she is pregnant because she has not menstruated for 3 months, and her breasts are getting bigger. What response by the nurse is best?

1. "Lack of menses and breast enlargement are presumptive signs of pregnancy."
2. "The changes you are describing are definitely indicators that you are pregnant."
3. "Lack of menses can be caused by many things. We need to do a pregnancy test."
4. "Breast and menstrual changes are positive signs of pregnancy. Congratulations."


3
Explanation:
1. Although this is true, amenorrhea and breast enlargement also can be caused by weight gain and other conditions. A pregnancy test is needed to determine whether the client is pregnant.
2. This statement is false because amenorrhea and breast enlargement are presumptive signs of pregnancy because they can be caused by other conditions.
3. This is a true statement and addresses that these changes could be caused by things other than pregnancy.
4. This statement is false because amenorrhea and breast enlargement are presumptive signs of pregnancy. It is too early to determine if congratulations are in order.

Nursing

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Genetics-related health care is a component of holistic nursing practice. What action should a nurse who practices in the area of genetics prioritize?

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What statement correctly explains the nerve impulse transmission?

A) "The impulse travels from the central nervous system (CNS) to the preganglionic neuron to the ganglia to the postganglionic neuron to the neuroeffector cells." B) "The impulse travels from the preganglionic neuron to the CNS to the ganglia to the postganglionic neuron to the neuroeffector cells." C) "The impulse travels from the preganglionic neuron to the ganglia to the postganglionic neuron to the CNS to the neuroeffector cell." D) "The impulse travels from the CNS, to the neuroeffector cells, to the preganglionic neuron to the ganglia to the postganglionic neuron."

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The nurse is preparing teaching on maternal–fetal ABO incompatibility for antepartum clients. Which statement should the nurse include in the teaching information?

1. In most cases, ABO incompatibility is limited to type A mothers with a type B or O fetus. 2. In most cases, ABO incompatibility is limited to type O mothers with a type A or B fetus. 3. ABO incompatibility occurs as a result of the fetal serum antibodies present and interaction between the antigen sites on the maternal red blood cells (RBCs). 4. Group A infants, because they have no antigenic sites on the red blood cells (RBCs), are never affected regardless of the mother's blood type.

Nursing