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    Ati ns 122 maternal newborn final proctored exam

    A nurse is caring for a client who tells the nurse that she thinks she might be pregnant because she is able to feel the baby move. Which of the following statements should the nurse make?

    Explanation & Rationale

    Choice A rationale: While fetal movement is a sign that pregnancy is possible, the medical classification system for obstetric assessment specifically labels subjective maternal reports as "presumptive," rather than using the term "possible." Choice B rationale: Presumptive signs are subjective data felt by the client, such as quickening (fetal movement), nausea, or fatigue. These can be caused by conditions other than pregnancy, such as peristalsis. Choice C rationale: Probable signs are objective findings observed by an examiner, such as a positive pregnancy test, Hegar's sign, or Chadwick's sign. These strongly suggest pregnancy but are not definitive proof. Choice D rationale: Positive signs are definitive proof of pregnancy that cannot be mistaken for other conditions. These include hearing the fetal heart tone, visualizing the fetus via ultrasound, or palpating fetal movement.

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