The nurse is performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. The nurse should assess for which probable signs of pregnancy? Select all that apply. Ballottement Chadwick’s sign Uterine enlargement Positive pregnancy test Fetal heart rate detected by a nonelectronic device Outline of fetus via radiography or ultrasonography

1, 2, 3, 43, 4, 52, 4, 51, 3, 5

Explanation.

The probable signs of pregnancy include uterine enlargement, Hegar’s sign (compressibility and softening of the lower uterine segment that occurs at about week 6), Goodell’s sign (softening of the cervix that occurs at the beginning of the second month), Chadwick’s sign (violet coloration of the mucous membranes of the cervix, vagina, and vulva that occurs at about week 4), ballottement (rebounding of the fetus against the examiner’s fingers on palpation), Braxton Hicks contractions, and a positive pregnancy test for the presence of human chorionic gonadotropin. Positive signs of pregnancy include fetal heart rate detected by electronic device (Doppler transducer) at 10 to 12 weeks and by nonelectronic device (fetoscope) at 20 weeks of gestation, active fetal movements palpable by the examiner, and an outline of the fetus by radiography or ultrasonography.