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
Douching is not recommended as it can disrupt the normal balance of bacteria in the vagina and can lead to infections. Therefore, it is unlikely that a healthcare provider would prescribe this as a treatment for vaginal itching and discharge.
Choice B rationale
While avoiding alcohol for 72 hours after treatment is a common instruction when taking certain medications, it does not address the client’s symptoms of vaginal itching and discharge.
Choice C rationale
An oatmeal sitz bath can help soothe irritated skin, but it does not treat the underlying cause of vaginal itching and discharge.
Choice D rationale
Metronidazole is an antibiotic that is commonly used to treat bacterial vaginosis, a condition that can cause vaginal itching and discharge. Therefore, it is likely that the healthcare provider would prescribe this medication.
Choice E rationale
While it is important for sexual partners to be treated if a sexually transmitted infection is diagnosed, the client’s symptoms and medical record information provided do not indicate a sexually transmitted infection. Therefore, this choice is not the most appropriate.
Correct Answer is A
Explanation
Choice A rationale
Painless red vaginal bleeding is a classic symptom of placenta previa, a condition where the placenta covers the cervix either partially or completely. This bleeding can occur at any time during the pregnancy but is most common in the third trimester.
Choice B rationale
Increasing abdominal pain with a non-relaxed uterus is more indicative of conditions such as preterm labor or placental abruption, not placenta previa.
Choice C rationale
Intermittent abdominal pain following passage of bloody mucus could be a sign of labor or a problem with the cervix, but it is not typically associated with placenta previa.
Choice D rationale
Abdominal pain with scant red vaginal bleeding could be a sign of many different conditions, including placental abruption or preterm labor. However, placenta previa is typically associated with painless bleeding.
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