The perinatal nurse explains to a group of nursing students that there are positive signs of pregnancy. Which of the following does the nurse include in this explanation? (Select all that apply.)
A.
Fetal heartbeat
B.
Fetal movement palpated by the examiner
C.
Intermittent uterine contractions
D.
Positive pregnancy test
E.
Visualization of the fetus
ANS: A, B, E
Positive signs of pregnancy are those attributable only to the presence of a fetus and include fetal heartbeat, fetal movement palpated by an examiner, and the visualization of a fetus. A positive pregnancy test and intermittent uterine contractions are presumptive signs of pregnancy and may be caused by other conditions. A positive pregnancy test can be caused by certain medications, premature menopause, choriocarcinoma, or blood in the urine. Intermittent uterine contractions (Braxton Hicks contractions) can be caused by uterine leiomyomas or other tumors.
You might also like to view...
A patient is seen in the clinic complaining of pain in the left wrist. There is no deformity of the wrist, the left radial pulse is strong, and there is no history of a fall or injury. What does the nurse expect to see ordered?
1. an x-ray of both arms to ensure there is no injury present 2. rest and comfort measures for several days unless pain worsens 3. lab work to assess calcium and phosphorus levels 4. a computerized tomography (CT) scan of the wrist to check for soft tissue injury
The nurse best addresses the possible intrinsic factors that contribute to falls experienced by older adult patients in an acute care setting by
a. encouraging patients to wear their glasses. b. keeping a low-level light on in the room at night. c. keeping the patient's bed low to the floor. d. assessing the room for clutter on the floor.
Which of the following clients is at greatest risk for insensible water loss?
1. A 37-year-old with a superficial burn to the left hand 2. A 15-year-old experiencing an asthmatic attack 3. A 50-year-old with type 2 diabetes 4. A 73-year-old with a history of pneumonia
A client has pneumonia. Which of the following evaluations does the nurse make about the effectiveness of the client's cough?
a. The client has a frequent, dry cough. b. The client has decreased adventitious sounds on auscultation. c. The client is breathing with deeper inhalation. d. The client's oxygen saturation is improved.