NCLEX RN Practice Question # 613

NCLEX Ecamination.

Practice Question # 613.



Pregnancy Signs

Pregnancy Signs

Presumptive signs

  • Amenorrhea
  • Nausea and vomiting
  • Increased size and increased feeling of fullness in breasts
  • Pronounced nipples
  • Urinary frequency
  • Quickening: The first perception of fetal movement by the mother may occur the sixteenth to twentieth week of gestation.
  • Fatigue
  • Discoloration of the vaginal mucosa

Probable signs

  • Uterine enlargement
  • Hegar’s sign: Compressibility and softening of the lower uterine segment that occurs at about week 6
  • Goodell’s sign: Softening of the cervix that occurs at the beginning of the second month
  • Chadwick’s sign: Violet coloration of the mucous membranes of the cervix, vagina, and vulva that occurs at about week 4
  • Ballottement: Rebounding of the fetus against the examiner’s fingers on palpation
  • Braxton Hicks contractions (irregular painless contractions that may occur intermittently throughout pregnancy)
  • Positive pregnancy test for determination of the presence of human chorionic gonadotropin

Positive signs (diagnostic)

  • Fetal heart rate detected by electronic device (Doppler transducer) at 10 to 12 weeks and by nonelectronic device (fetoscope) at 20 weeks of gestation
  • Active fetal movements palpable by examiner
  • Outline of fetus via radiography or ultra-sonography

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