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
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.
Correct Answer is C
Explanation
Choice A rationale
Activities that raise the body temperature, such as saunas and hot tubs, are generally not recommended during pregnancy. Elevated body temperature, particularly during the first trimester, has been associated with an increased risk of neural tube defects.
Choice B rationale
The statement that exercising during pregnancy is not recommended is not accurate. Regular exercise during pregnancy can have many benefits, including reduced risk of gestational diabetes, preeclampsia, and cesarean delivery.
Choice C rationale
Daily jogging for up to 30 minutes is generally safe throughout pregnancy for women who were regular runners before becoming pregnant. However, it’s important to discuss any exercise regimen with a healthcare provider.
Choice D rationale
While stretching activities can be beneficial during pregnancy, they should not be the only form of exercise. A balanced exercise routine that includes aerobic and strength-training exercises is generally recommended.
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