Maternity Nursing Q 31

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Which of the following would the nurse identify as a presumptive sign of pregnancy?

  

     A. Hegar sign

     B. Nausea and vomiting

     C. Skin pigmentation changes

     D. Positive serum pregnancy test

    

    

Correct Answer: B. Nausea and vomiting

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Presumptive signs of pregnancy are subjective signs. Of the signs listed, only nausea and vomiting are presumptive signs.

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Option A: Hegar’s sign is a non-sensitive indication of pregnancy in women — its absence does not exclude pregnancy. It pertains to the features of the cervix and the uterine isthmus. It is demonstrated as a softening in the consistency of the uterus, and the uterus and cervix seem to be two separate regions. It is a probable sign of pregnancy.

Option C: The area around the nipples and the skin on the inner thighs, genitals, and neck might darken, possibly due to hormonal changes. The woman might notice a dark line from the navel to the pubic bone (linea nigra). Dark patches might develop on the face (chloasma). Avoid sun exposure, which can worsen chloasma. After childbirth, skin typically returns to its normal pigment over a period of several months.

Option D: A positive serum pregnancy test is considered a probable sign, which is strongly suggestive of pregnancy.

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