Health Promotion and Maintenance
94. A client presents to a prenatal clinic and tells a physician that she thinks she might be pregnant because she has not has a period for about 5 months. Which is the most definitive sign of pregnancy?
Health Promotion and Maintenance
94. A client presents to a prenatal clinic and tells a physician that she thinks she might be pregnant because she has not has a period for about 5 months. Which is the most definitive sign of pregnancy?
. Elevated human chorionic gonadotropin.
. The presence of fetal heart tones.
. Uterine enlargement.
. Breast enlargement and tenderness.
Test-Taking Tip
Remember that the positive signs of pregnancy are limited to: fetal heart tones, fetal outline on ultrasound or x-ray, and fetal movement felt by an examiner.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Assessment; Cognitive Level: Comprehension; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/System Specific Assessments
Health Promotion and Maintenance
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Answer 1 is incorrect because elevated human chorionic gonadotropin can been seen in a hydatidiform mole. Answer 2 is correct because the presence of fetal heart tones is a positive sign of pregnancy. Answer 3 is incorrect because uterine enlargement can be a result of a tumor, a hydatidiform mole, or myomata. Answer 4 is incorrect because breast enlargement and tenderness can be caused by hormonal fluctuations of the normal menstrual cycle.