A primigravida is 18 weeks gestation and asks the nurse how long it will be until she feels the baby move.
The best response by the nurse is:
"Within the next week or so you should feel a fluttering sensation.”.
"Some babies don't move until the sixth month of pregnancy.”.
"The baby is moving but you can't feel it.”.
"You should have felt the baby move by now.”. .
The Correct Answer is A
Choice A rationale
Quickening, the first movements of the fetus felt by the mother, typically occurs between 18-20 weeks gestation. At 18 weeks, it's likely the mother will feel a fluttering sensation soon.
Choice B rationale
While fetal movements can sometimes be felt later, it's generally expected that by 18-20 weeks, movements should be noticeable.
Choice C rationale
The baby does move at 18 weeks, but the mother typically begins to feel these movements at this stage, known as quickening.
Choice D rationale
Suggesting the mother should have felt movement by now could cause unnecessary anxiety. Most women feel their baby's movements between 18-20 weeks. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Being unhoused can increase stress and instability, potentially leading to polysubstance use as a coping mechanism.
Choice B rationale
Lack of health insurance can limit access to healthcare, making it harder to seek help for substance use disorders and increasing the risk of polysubstance use.
Choice C rationale
Anxiety disorders can lead individuals to self-medicate with multiple substances, increasing the risk of polysubstance use disorder.
Choice D rationale
Consuming fast food is not directly related to polysubstance use disorder.
Choice E rationale
10th-grade education level alone is not a direct indication of polysubstance use disorder.
Correct Answer is A
Explanation
Choice A rationale
Administering betamethasone 12 mg IM helps accelerate fetal lung maturity by stimulating the production of surfactant. This is crucial for a preterm baby, as immature lungs are one of the biggest risks in preterm labor. Administering betamethasone can significantly improve neonatal outcomes by reducing respiratory distress syndrome and other complications related to prematurity.
Choice B rationale
Preparing the client for immediate delivery is not the first action as the primary goal in managing preterm labor with an L/S ratio of 1: is to delay labor and enhance fetal lung maturity. Betamethasone administration is prioritized to maximize fetal lung development before considering delivery.
Choice C rationale
Administering hydralazine 25 mg IV is used to manage hypertension and is unrelated to enhancing fetal lung maturity in preterm labor. It is not indicated in this situation as the primary concern is not managing blood pressure.
Choice D rationale
Infusing a bolus of IV fluid might be used to manage preterm labor but does not directly address the need to improve fetal lung maturity. The main priority is administering steroids like betamethasone to expedite fetal lung development.
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