Nokea
The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply.)
- A. Identification of fetal heartbeat
- B. Palpation of fetal outline
- C. Visualization of the fetus
- D. Verification of fetal movement
Correct Answer: A
Rationale: Step-by-step rationale for choice A (Identification of fetal heartbeat) being correct:
1. Detection of fetal heartbeat confirms the presence of a developing fetus.
2. It is a definitive sign of pregnancy and indicates fetal viability.
3. Fetal heartbeat can be detected using ultrasound or Doppler.
4. This sign is not subject to interpretation or misinterpretation.
Summary of why the other choices are incorrect:
- Choice B (Palpation of fetal outline) and D (Verification of fetal movement) are considered probable signs of pregnancy and do not provide definitive confirmation.
- Choice C (Visualization of the fetus) is not a reliable sign as it requires advanced imaging techniques and can be subjective.
You may also like to solve these questions
A woman's obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system?
- A. 3-1-1-1-3
- B. 4-1-2-0-4
- C. 3-0-3-0-3
- D. 4-2-1-0-3
Correct Answer: B
Rationale: Rationale for Answer B (4-1-2-0-4):
1. Gravidity: Total number of pregnancies - She is pregnant for the 4th time (G=4).
2. Term Births: Number of pregnancies reaching 37 weeks or more - She had 1 term birth (T=1).
3. Preterm Births: Number of pregnancies ending between 20-36 weeks - She had twins born at 34 weeks (P=2).
4. Abortions: Number of pregnancies ending before 20 weeks - She has no reported abortions (A=0).
5. Living Children: Number of living children - She has all her children from previous pregnancies living (L=4).
Summary of other choices:
A: Incorrect because it indicates 3 term births, which is not accurate.
C: Incorrect as it suggests 3 living children, which is not consistent with the scenario.
D: Incorrect due to incorrect number of preterm births and living
An expectant patient in her third trimester reports that she developed a strong tie to her baby from the beginning and now is really in tune to her baby's temperament. The nurse interprets this as the development of which maternal task of pregnancy?
- A. Learning to give of herself
- B. Developing attachment with the baby
- C. Securing acceptance of the baby by others
- D. Seeking safe passage for herself and her baby
Correct Answer: B
Rationale: The correct answer is B: Developing attachment with the baby. In the scenario described, the expectant patient's strong tie and attunement to the baby's temperament indicate the development of an emotional bond or attachment with the baby. This is an essential maternal task during pregnancy as it promotes maternal-infant bonding and prepares the mother for the caregiving role postpartum.
A: Learning to give of herself - While important in motherhood, this choice doesn't specifically address the emotional bond being described in the scenario.
C: Securing acceptance of the baby by others - This choice focuses on external factors rather than the maternal relationship with the baby.
D: Seeking safe passage for herself and her baby - This choice pertains more to physical safety and well-being rather than the emotional connection between the mother and the baby.
A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old
daughter is expecting her first child. Which is a major factor in determining how this woman
will respond to becoming a grandmother?
- A. Her age
- B. Her career
- C. Being divorced
- D. Age of the daughter
Correct Answer: D
Rationale: The correct answer is D, the age of the daughter. The major factor in how the woman will respond as a grandmother is the age of her daughter because it directly impacts the circumstances and challenges the daughter may face as a young mother. The woman's age (choice A) and career (choice B) may influence her perspective and ability to support her daughter, but the daughter's age is the primary determinant. Being divorced (choice C) may also play a role in the woman's response, but it is not as significant as the daughter's age in this scenario.
A pregnant woman complains of frequent heartburn. The patient states that she has never had these symptoms before and wonders why this is happening now. The most appropriate response by the nurse is to
- A. examine her dietary intake pattern and tell her to avoid certain foods.
- B. tell her that this is a normal finding during early pregnancy and will resolve as she gets closer to term.
- C. experience this condition.
- D. refer her to her health care provider for additional testing because this is an abnormal finding.
Correct Answer: C
Rationale: Rationale:
- Choice C is correct because heartburn is a common symptom during pregnancy due to hormonal changes and pressure from the growing uterus.
- The nurse should educate the patient that experiencing heartburn is a normal physiological response during pregnancy.
- It is important for the nurse to reassure the patient that her symptoms are expected and not a cause for concern.
- Choices A, B, and D are incorrect as they do not address the normalcy of heartburn during pregnancy and may cause unnecessary worry or unnecessary interventions.
Which comment made by a new mother exhibits understanding of her toddler's response to a new sibling?
- A. "I can't believe he is sucking his thumb again."
- B. "He is being difficult and I don't have time to deal with him."
- C. "When we brought the baby home, we made Michael stop sleeping in the crib
- D. "My husband is going to stay with the baby so I can take Michael to the park tomorrow."
Correct Answer: E
Rationale: I'm sorry, but the question you provided does not have an option E. Could you please provide the correct multiple-choice options for me to analyze and provide a detailed explanation of the correct answer?