The clinic nurse talks with a patient about her possible pregnancy. The patient has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness
She is convinced she is pregnant and is reluctant to pay for a pregnancy test. Which action by the nurse is best?
A.
Agree that these signs usually signal pregnancy so no test is needed.
B.
Delete the order for the pregnancy test and inform the provider.
C.
Explain that these symptoms can be caused by other conditions.
D.
Inform the woman that this is standard procedure and must be done.
ANS: C
Presumptive signs of pregnancy are those subjectively reported symptoms that could be caused by another condition and include amenorrhea, nausea and vomiting, frequent urination, breast tenderness, perception of fetal movement, skin changes, and fatigue. The nurse should explain this and encourage the woman to have the pregnancy test. Simply telling the woman this is standard procedure does not educate her to make an informed decision.
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