The patient in the prenatal clinic tells the nurse that she is ...

[crobinson2013]

The patient in the prenatal clinic tells the nurse that she is sure she is pregnant because she has not had a menstrual cycle for 3 months, and her breasts are getting bigger. What response by the nurse is best?
 
  1. Lack of menses and breast enlargement are presumptive signs of pregnancy..
  2. The changes you are describing are definitely indicators that you are pregnant..
  3. Lack of menses can be caused by many things. We need to do a pregnancy test..
  4. You're probably not pregnant, but we can check it out if you like..

Question 2

The nurse is seeing prenatal clients in the clinic. Which client is exhibiting expected findings?
 
  1. 12 weeks' gestation, with fetal heart tones heard by Doppler fetoscope
  2. 22 weeks' gestation, client reports no fetal movement felt yet
  3. 16 weeks' gestation, fundus three finger breadths above umbilicus
  4. Marked edema

[Ksanderson1296]

Answer to Question 1

3
Rationale 1: Although a lack of menses and breast enlargement are presumptive signs of pregnancy, the nurse should not state this without explaining that these symptoms also can be caused by weight gain and other conditions.
Rationale 2: This statement is false because amenorrhea and breast enlargement can be caused by other conditions.
Rationale 3: This is a true statement, and addresses that these changes could be caused by things other than pregnancy.
Rationale 4: While lack of menses and breast enlargement might not be caused by pregnancy, they likely are the result of pregnancy, and it is inappropriate for the nurse to suggest the patient is not pregnant.

Answer to Question 2

1
Explanation: 1. This is an expected finding because fetal heart tones should be heard by 12 weeks using a Doppler fetoscope.

[crobinson2013]

TYSM

[Joy Chen]

Gracias!