A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation.
Which of the following information should the nurse include?
Quickening occurs between the first and second months of pregnancy.
Quickening occurs between the fourth and fifth months of pregnancy.
Quickening starts soon after implantation.
Quickening starts during the last weeks of pregnancy.
The Correct Answer is B
Choice A rationale:
Quickening occurs between the first and second months of pregnancy. This statement is incorrect. Quickening is the term used to describe the first sensations of fetal movement, which usually occur between the 18th and 20th weeks of pregnancy. During the first and second months of pregnancy, the fetus is too small for the mother to feel any movement. This choice is inaccurate.
Choice B rationale:
Quickening occurs between the fourth and fifth months of pregnancy. This is the correct choice. Quickening typically occurs between the 18th and 20th weeks of pregnancy. It marks an important milestone in pregnancy when the mother can start feeling the baby's movements. This is a key point to include in teaching.
Choice C rationale:
Quickening starts soon after implantation. This statement is inaccurate. Quickening does not occur immediately after implantation. Implantation typically occurs around 6-10 days after fertilization. Quickening happens much later in pregnancy, as previously mentioned, between the fourth and fifth months.
Choice D rationale:
Quickening starts during the last weeks of pregnancy. This statement is also incorrect. Quickening is a term used to describe the first movements of the fetus, and it occurs during the second trimester of pregnancy, not during the last weeks. This choice is not accurate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
This test will screen for ABO incompatibility. This statement is inaccurate. Maternal serum alpha-fetoprotein (MSAFP) determination is not used to screen for ABO incompatibility. ABO incompatibility is a different concern that involves the mother's and baby's blood types, and it is not assessed through MSAFP testing.
Choice B rationale:
This test will screen for fetal maturity. MSAFP determination does not assess fetal maturity. The purpose of this test is to screen for specific congenital abnormalities, such as neural tube defects and chromosomal abnormalities, not to determine fetal maturity.
Choice C rationale:
This test will screen for neural tube defects. This is the correct choice. Maternal serum alpha-fetoprotein (MSAFP) determination is primarily used to screen for neural tube defects in the developing fetus. It measures the level of alpha-fetoprotein in the mother's blood, and elevated levels can indicate a higher risk of neural tube defects.
Choice D rationale:
This test will screen for gestational diabetes. MSAFP testing is not used to screen for gestational diabetes. Gestational diabetes is typically screened for through glucose tolerance tests or other specific tests designed to diagnose diabetes during pregnancy.
Correct Answer is B
Explanation
A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions? The correct answer is choice B: Placenta previa.
Choice A rationale:
"Abruptio placentae.”. This choice is incorrect. Abruptio placentae is characterized by the premature separation of the placenta from the uterine wall, which can result in painful and dark red vaginal bleeding. It is associated with abdominal pain and fetal distress. In this case, the bleeding is described as painless and bright red, which is more indicative of placenta previa.
Choice C rationale:
"Preterm labor.”. This choice is incorrect. Preterm labor involves regular uterine contractions that result in cervical changes before 37 weeks of gestation. Painless, bright red vaginal bleeding is not typically associated with preterm labor. It is more often seen in placenta previa.
Choice D rationale:
"Threatened abortion.”. This choice is incorrect. Threatened abortion refers to vaginal bleeding in the first half of pregnancy, typically accompanied by mild uterine cramping. The bleeding is often associated with the possibility of miscarriage. However, the scenario described in the question occurs at 36 weeks of gestation, which is well into the third trimester and not within the typical timeframe for a threatened abortion.
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