A 30-year-old primigravida who is 18 weeks pregnant, reports feeling fluttering in her lower abdomen. She states it feels like the baby is moving. This is known as:
Quickening
Ballottement
Lightening
Nesting
The Correct Answer is A
A. Quickening – Correct; the first sensation of fetal movement, typically felt between 16-20 weeks of gestation.
B. Ballottement – Incorrect; this refers to a physical examination finding where the fetus rebounds when the cervix is tapped.
C. Lightening – Incorrect; this occurs later in pregnancy when the fetus drops into the pelvis before labor.
D. Nesting – Incorrect; this describes a surge of energy before labor, not fetal movement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "It really doesn't matter exactly how much weight you gain, as long as your diet is healthy." – Incorrect; weight gain recommendations exist to reduce pregnancy complications.
B. "The recommendation for you is about 15 to 25 pounds." – Correct; a BMI of 26.5 falls into the overweight category, where the recommended weight gain is 15-25 lbs.
C. "You should gain 11 to 20 pounds." – Incorrect; this range applies to obese clients (BMI ≥30).
D. "A gain of about 25 to 35 pounds is best for you and for your baby." – Incorrect; this range applies to normal-weight clients (BMI 18.5-24.9).
Correct Answer is D
Explanation
A. "This monitor gives me information related to fetal heart rate fluctuations during your labor." – Incorrect; the TOCO does not monitor fetal heart rate; the fetal heart rate is detected using a Doppler or fetal scalp electrode.
B. "This monitor measures the intensity and frequency of your contractions so I can observe labor progress." – Incorrect; the TOCO can measure frequency and duration, but not intensity (which requires an intrauterine pressure catheter).
C. "This monitor allows me to observe your labor progress. By observing the pattern, I can tell how strong your contractions are." – Incorrect; TOCO does not measure contraction strength, only duration and frequency.
D. "This monitor provides me with information related to the duration and frequency of your contractions." – Correct; a TOCO detects and records contraction frequency and duration, but not intensity.
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