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Exam NCLEX-RN topic 6 question 14 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 14
Topic #: 6
[All NCLEX-RN Questions]

A 35-year-old primigravida comes to the clinic for her first prenatal visit. The midwife, on examining the client, suspects that she is approximately 11 weeks pregnant. The pregnancy is positively confirmed by finding:

  • A. Chadwick’s sign
  • B. FHR by ultrasound
  • C. Enlargement of the uterus
  • D. Breast tenderness and enlargement
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Suggested Answer: B 🗳️
(A) Chadwicks sign is a presumptive sign of pregnancy. The coloration may not subside from past pregnancy or could be caused by other situations that create vasocongestion. (B) FHR (movement) observed on ultrasound is a positive diagnosis of pregnancy. (C) Enlargement of the uterus may be due to fibroids or infection. It is considered a probable sign. (D) Breast tenderness and enlargement is a presumptive sign because it may be due to other conditions, such as premenstrual changes.

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