Nokea
What would the nurse explain as the cause of Chadwick's sign?
- A. Enlargement of the uterus
- B. Progesterone action on the breasts
- C. Increasing activity of the fetus
- D. Vascular congestion in the pelvic area
Correct Answer: D
Rationale: Chadwick's sign is caused by increased vascular congestion in the cervical and vaginal area.
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The nurse assesses the progress from the announcement stage of fatherhood to the acceptance stage when the patient reports which actions by the father?
- A. Goes fishing every afternoon.
- B. Has revised his financial plan.
- C. Spends leisure time with his friends.
- D. Traded his sports car for a sedan.
- E. Helped select a crib.
Correct Answer: B,D,E
Rationale: Active planning, such as revising finances, trading cars, and selecting a crib, indicates the acceptance stage.
What is the appropriate term for this sign?
- A. Chadwick's
- B. Hegar's
- C. McDonald's
- D. Goodell's
Correct Answer: D
Rationale: Goodell's sign describes a softened cervix and vagina, a probable sign of pregnancy.
The nurse cautions the patient that, because of hormonal changes in late pregnancy, the pelvic joints relax.What does this result in?
- A. Waddling gait
- B. Joint instability
- C. Urinary frequency
- D. Back pain
- E. Aching in cervical spine
Correct Answer: A,B
Rationale: Relaxation of pelvic joints in late pregnancy causes a waddling gait and joint instability.
At what gestational age can the fetal heartbeat be auscultated with a specially adapted stethoscope or fetoscope?
- A. 4 weeks
- B. 12 weeks
- C. 18 weeks
- D. 24 weeks
Correct Answer: C
Rationale: The fetal heartbeat can be heard with a fetoscope between the 18th and 20th weeks of pregnancy.
What is Chadwick's sign?
- A. Bluish or purplish discoloration of the vulva, vagina, and cervix
- B. Presence of early fetal movements
- C. Darkening of the areola and breast tenderness
- D. Palpation of the fetal outline
Correct Answer: A
Rationale: Chadwick's sign is the purplish or bluish discoloration of the cervix, vulva, and vagina.