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 B
Explanation
We use Nägele’s Rule to estimate the date of delivery:
? Formula:
First day of LMP + 7 days − 3 months + 1 year
-
LMP = May 4, 2022
-
Add 7 days → May 11, 2022
-
Subtract 3 months → February 11, 2022
-
Add 1 year → February 11, 2023
✅ Estimated Date of Delivery (EDD): February 11, 2023
Correct Answer is B
Explanation
Choice A rationale
While inserting an indwelling urinary catheter may be necessary in some cases, it is not the priority nursing action in this situation.
Choice B rationale
This is the correct answer. Initiating IV access is the priority nursing action. This allows for rapid administration of fluids and medications, which can be crucial in managing the client’s condition.
Choice C rationale
Preparing the abdominal and perineal areas may be necessary if the client requires surgical intervention, but it is not the priority nursing action.
Choice D rationale
Witnessing the signature for informed consent for surgery is important if surgery is needed, but it is not the priority nursing action.
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