A nurse is caring for a patient who is 18 weeks pregnant.
The patient tells the nurse that she felt fluttering movements in her abdomen 3 days ago.
The nurse should interpret this finding as which of the following?
Quickening.
Chloasma.
Lightening.
Ballottement.
The Correct Answer is A
Choice A rationale
Quickening refers to the first movements of the fetus felt by the pregnant individual, often described as a fluttering sensation. This typically occurs between 16 to 25 weeks of pregnancy.
Choice B rationale
Chloasma, also known as the “mask of pregnancy,” is a skin condition that causes dark, discolored patches on the face. It is not related to fetal movements.
Choice C rationale
Lightening refers to the baby moving down into the pelvis as the body prepares for labor. It does not refer to the initial movements of the fetus.
Choice D rationale
Ballottement is a medical sign which can be used to detect an unengaged fetus by a sharp upward pushing against the uterine wall with a finger and feeling for return impact of the displaced fetus. It does not refer to the initial movements of the fetus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While male condoms are a widely used method of contraception, they are not the most reliable. They have a typical use failure rate of about 13%, meaning that 13 out of 100 women will become pregnant in a year of using this method.
Choice B rationale
The diaphragm with spermicide is less reliable than some other methods of contraception. Its typical use failure rate is about 17%89.
Choice C rationale
Oral contraceptives are more reliable than condoms or diaphragms, with a typical use failure rate of about 7%. However, they require daily adherence and can have side effects.
Choice D rationale
The intrauterine device (IUD) is one of the most reliable methods of contraception. It has a typical use failure rate of less than 1%. It is also long-lasting and does not require daily adherence.
Correct Answer is C
Explanation
Choice A rationale
This choice suggests that the client has had 2 pregnancies with no term births, no preterm births, 2 abortions, and no living children. However, this does not accurately reflect the client’s history, which includes one pregnancy terminated by elective abortion at 9 weeks, the birth of twins at 36 weeks, and a spontaneous abortion at 15 weeks.
Choice B rationale
This choice suggests that the client has had 3 pregnancies with no term births, 2 preterm births, no abortions, and 2 living children. This does not accurately reflect the client’s history.
Choice C rationale
This choice suggests that the client has had 4 pregnancies with 2 term births, no preterm births, 2 abortions, and 2 living children. This accurately reflects the client’s history. The client has been pregnant 4 times (one current pregnancy, one set of twins, one elective abortion, and one spontaneous abortion). The client has had 2 term births (the twins), no preterm births, 2 abortions (one elective and one spontaneous), and 2 living children (the twins)12.
Choice D rationale
This choice suggests that the client has had 4 pregnancies with no term births, 1 preterm birth, 2 abortions, and 2 living children. This does not accurately reflect the client’s history.
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