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 D
Explanation
A nurse is reinforcing teaching with a client who is pregnant and whose routine diagnostic testing reveals a negative rubella titer. Which of the following statements should the nurse tell the client? The correct answer is choice D: "You will need an immunization following delivery.”.
Choice A rationale:
"You had the rubella infection as a child.”. This statement is incorrect. A negative rubella titer indicates that the client is not immune to rubella. Even if the client had the infection as a child, it does not guarantee immunity for life. Immunity can wane over time, and some individuals may not have developed sufficient immunity after a natural infection.
Choice B rationale:
"I will administer the rubella immunization to you today.”. This statement is not recommended. Rubella vaccination is a live attenuated vaccine, and it is generally contraindicated during pregnancy due to the theoretical risk of transmission to the fetus. Rubella vaccination is usually recommended postpartum if the woman is not immune. The nurse should not administer the vaccine during pregnancy.
Choice C rationale:
"You are immune to rubella.”. This statement is incorrect. A negative rubella titer clearly indicates that the client is not immune to rubella. It's crucial for healthcare providers to provide accurate information to the client and ensure that appropriate immunization is administered postpartum to protect both the mother and the newborn.
Correct Answer is ["C","E"]
Explanation
A nurse is preparing to examine a post-term newborn immediately following delivery. Which of the following findings should she expect to observe? (Select all that apply.) The correct answers are choices C and E: Cracked, peeling skin and Vernix in the folds and creases.
Choice A rationale:
The Moro reflex is a normal neonatal reflex that can be observed in newborns at term or preterm, not specifically in post-term newborns. It is characterized by the baby's response to a sudden loss of support, which causes them to startle, throw their arms out, and cry. This reflex is not unique to post-term newborns.
Choice B rationale:
The heel to ear maneuverability is not a typical finding in newborn assessments. It is not related to the term or post-term status of the newborn. Therefore, this choice is not applicable.
Choice C rationale:
Cracked, peeling skin is a common finding in post-term newborns. Post-term babies have been in the womb for a longer duration, which can lead to changes in the condition of their skin, including peeling and cracking. This is due to prolonged exposure to amniotic fluid and the protective vernix diminishing.
Choice D rationale:
Abundant lanugo is more commonly found in preterm or premature newborns. As babies approach their due date and beyond, they tend to shed this fine, downy hair. Therefore, this choice is not applicable to post-term newborns.
Choice E rationale:
Vernix in the folds and creases is a characteristic finding in post-term newborns. Vernix is a white, waxy substance that coats the skin of newborns. In post-term babies, this vernix may be found in the folds and creases of their skin, as they have had more time in the womb for it to accumulate.
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