RNSG1538 Exam II Questions – (100% correct answers) Graded A

ObjectiConcept/Focus Areave15, 6Reproduction/Maternal Adaptation during Pregnancy/Presumptive SignsSubjective (Presumptive) SignsPresumptive signs are those signs that the mother can perceive. The most obvious presumptive sign ofpregnancy is the absence of menstruation. Skipping a period is not a reliable sign of pregnancy by itself, but ifit is accompanied by consistent nausea, fatigue, breast tenderness, and urinary frequency, pregnancy wouldseem very likely.25, 6Reproduction/Maternal Adaptation during Pregnancy/Probable SignsObjective (Probable) SignsPhysical SignsDM 07/05/20201 San Antonio CollegeDepartment of Nursing EducationCareer Mobility Online Level 2RNSG 1538 Health Care Concepts IIIExam 2-Student Blueprint•#ObjectiConcept/Focus AreaveProbable signs of pregnancy are those that can be detected on physical examination by a health care provider.Common probable signs of pregnancy include softening of the lower uterine segment or isthmus (Hegar'ssign), softening of the cervix (Goodell's sign), and a bluish-purple coloration of the vaginal mucosa andcervix (Chadwick's sign). Other probable signs include changes in the shape and size of the uterus,abdominal enlargement, Braxton Hicks contractions, andballottement(the examiner pushes against thewoman's cervix during a pelvic examination and feels a rebound from the floating fetus).Pregnancy TestsAlong with these physical signs, pregnancy tests are also considered a probable sign of pregnancy. In-homepregnancy testing became available in the United States in late 1977. In-home testing appealed to the generalpublic because of convenience, cost, and confidentiality. Several pregnancy tests are available (Table 11.1). Thetests vary in sensitivity, specificity, and accuracy and are influenced by the length of gestation, specimenconcentration, presence of blood, and the presence of some drugs. Human chorionic gonadotropin (hCG) isdetectable in the serum of approximately 5% of clients 8 days after conception and in more than 98% of clientsby day 11 (Shields, 2015). At least 25 different home pregnancy tests are currently marketed in the UnitedStates. Most of these tests claim "99% accuracy" according to a U.S. Food and Drug Administration (FDA)DM 07/05/20202