NCLEX RN Practice Question # 613

NCLEX Ecamination.

Practice Question # 613.

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