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

Answer and Explanation

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.

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Correct Answer is ["B","C","E"]

Explanation

A. Hormonal imbalances – Incorrect; while maternal hormones can impact fetal growth, they are not classified as teratogens.

B. Chemicals – Correct; drugs, alcohol, and toxins (e.g., thalidomide, lead, mercury) can cause birth defects.

C. Environmental – Correct; radiation and pollutants can affect fetal development.

D. Emotional stress – Incorrect; while stress affects pregnancy outcomes, it is not classified as a teratogen.

E. Infections – Correct; infections such as rubella, toxoplasmosis, and syphilis can cause severe congenital abnormalities.

F. Physical trauma – Incorrect; trauma can harm the fetus but is not a teratogen.

A. "There is no way to predict how long it will last for each individual client, so you'll just have to wait and see." B. "No, it should only last until about your 12th week, but it will return near the end of the pregnancy." C. "Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome." D. "No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone."

Correct Answer is B

Explanation

A. "There is no way to predict how long it will last for each individual client, so you'll just have to wait and see." – Incorrect; this does not provide helpful education.
B. "No, it should only last until about your 12th week, but it will return near the end of the pregnancy." – Correct; urinary frequency occurs in the first trimester due to hormonal changes and again in the third trimester due to fetal pressure on the bladder.
C. "Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome." – Incorrect; reducing fluid intake may cause dehydration.
D. "No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone." – Incorrect; bladder tone does not significantly affect this symptom.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Developing organs and body systems are highly susceptible to teratogens, which can cause major abnormalities. These teratogens usually fall into one of three categories: (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

A nurse is providing instructions for a client at 4 weeks postpartum visit, the client should contact her provider for which of the following findings?

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A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

During a prenatal class, a client reports she has an identical twin. What is the classification of twins who share the same chromosomal material?

Which of the following terms is used to describe the thinning and shortening of the cervix that occurs just before and during labor?

A client asks if a nurse can assist with non-pharmacological pain management techniques. In reinforcing education to the client, which of the following should the practical nurse include that require specific training and certification to perform?

What is a transitional object in the hospital to a child?

A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)