A pregnant woman is learning how to perform kick (fetal movement) counts. What should the nurse instruct her to do?

Avoid caffeinated drinks for 24 hours before conducting the kick test.

Exercise for 15 minutes before starting the counting to help increase fetal movement.

Count the movements once daily, for one hour, before breakfast.

If 10 kicks are not felt within one hour, drink orange juice and count for another hour.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Avoiding caffeinated drinks for 24 hours before conducting the kick test is not necessary. Caffeine does not significantly affect fetal movements.

Choice B rationale

Exercising for 15 minutes before starting the counting to help increase fetal movement is not a standard recommendation. While physical activity can sometimes stimulate fetal movement, it’s not a requirement for performing kick counts.

Choice C rationale

Counting the movements once daily, for one hour, before breakfast is not the standard recommendation. The best time to do kick counts is when the baby is usually most active, which might be after a meal, early in the morning, or at another point in the day.

Choice D rationale

If 10 kicks are not felt within one hour, drinking orange juice and counting for another hour is a common recommendation. The sugar in the juice can sometimes stimulate the baby to move. However, if the mother still doesn’t feel 10 movements within 2 hours, she should contact her healthcare provider.

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Correct Answer is ["C","D","E"]

Explanation

Choice A rationale

Return of lochia rubra, or bright red bleeding, is not a sign of postpartum depression. It is a normal part of the postpartum period and can last for several weeks after childbirth.

Choice B rationale

Engorged, painful breasts can be a sign of breastfeeding complications, but they are not a sign of postpartum depression. They are a common experience for many women as their milk comes in after childbirth.

Choice C rationale

Difficulty falling asleep, even when the baby is sleeping, can be a sign of postpartum depression. Sleep disturbances are common among women with postpartum depression.

Choice D rationale

Decreased appetite can be a sign of postpartum depression. Changes in eating habits, such as eating too little or too much, are common symptoms of depression.

Choice E rationale

Feelings of sadness that last for more than two weeks after childbirth can be a sign of postpartum depression. While many women experience “baby blues” in the first few weeks after childbirth, prolonged feelings of sadness can indicate a more serious issue.

A. Contact spiritual support services. B. Provide information about an autopsy. C. Discuss neonatal resuscitation options. D. Get in touch with the organ donation organization.

Correct Answer is A

Explanation

Choice A rationale

In a situation where a client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery, the nurse’s initial action should be to contact spiritual support services. This can provide much-needed emotional and spiritual support to the client during this difficult time.

Choice B rationale

While providing information about an autopsy might be necessary at some point, it should not be the initial action. The first response should be focused on providing emotional support.

Choice C rationale

Discussing neonatal resuscitation options might not be appropriate in this scenario, especially if it’s not expected that the fetus will survive. The initial focus should be on providing emotional support.

Choice D rationale

Contacting the organ donation organization is not the initial action to take in this situation. The first response should be providing emotional and spiritual support to the client.

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A pregnant woman is learning how to perform kick (fetal movement) counts. What should the nurse instruct her to do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which signs of postpartum depression require additional attention from the nurse? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery. What should be the nurse’s initial action?

Correct Answer is A

Explanation

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