2024 PN NCLEX Questions Nursing Practice Question
When reviewing a client's medical notes to confirm pregnancy, a nurse should look for which finding to determine that pregnancy is confirmed?
Correct Answer: C
Rationale: To confirm pregnancy, the most definitive finding is palpable fetal movement (C), typically felt around 18-20 weeks of gestation. This indicates the presence of a developing fetus.
Amenorrhea (A) is a common early sign of pregnancy but can also occur due to other factors, making it less definitive. Thinning of the cervix (B) occurs during labor and is not a reliable indicator in early pregnancy. A positive result on a home urine test (D) suggests pregnancy but is not as conclusive as direct fetal movement, which confirms the presence of a fetus.