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 C
Explanation
A. Lightening – Correct; "lightening" occurs when the fetal head descends into the pelvis, reducing pressure on the diaphragm, making it easier to breathe.
B. Decreasing chest diameter – Incorrect; the chest diameter does not decrease; instead, the diaphragm moves upward due to uterine growth.
C. Decreased carbon dioxide production – Incorrect; CO₂ production remains stable during pregnancy.
D. Hyperventilation – Incorrect; while pregnancy increases respiratory effort, the client is experiencing relief, not hyperventilation.
Correct Answer is A
Explanation
A. Nesting – Correct; nesting instinct refers to a surge of energy in late pregnancy, leading the mother to prepare for the baby.
B. Bloody show – Incorrect; bloody show refers to mucus mixed with blood, a sign of cervical dilation.
C. Lightening – Incorrect; lightening refers to the baby dropping into the pelvis, making breathing easier but increasing pressure on the bladder.
D. Effacement – Incorrect; effacement is the thinning of the cervix, an essential part of labor but not related to nesting.
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