A client calls a prenatal clinic, stating, "I have nausea in the morning, I am late with my menstrual cycle, and I am feeling really fatigued." The nurse explains to the client that these symptoms are:
1. Subjective or presumptive signs of pregnancy, but not diagnostic.
2. Objective or probable signs of pregnancy, but not diagnostic.
3. Diagnostic or positive signs of pregnancy.
4. Signs of an ectopic pregnancy.
1
Rationale:
1. Subjective (presumptive) changes of pregnancy are the symptoms the woman experiences and reports. Nausea in the morning, a missed menstrual cycle, and fatigue are subjective (presumptive) signs, but cannot be considered proof of pregnancy.
2. Objective or probable changes are signs that an examiner can perceive. They include changes in the pelvic organs, enlargement of the abdomen, and changes in the pigmentation of the skin. However, these changes are not considered to be proof of pregnancy.
3. The positive signs of pregnancy are completely objective, and cannot be confused with a pathologic state. The fetal heartbeat detected by an electronic Doppler is a positive sign of pregnancy.
4. The symptoms described would not be indicative of an ectopic pregnancy.
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