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 ["3.9"]
Explanation
Step 1 is 3900 grams ÷ 1000 = 3.9 kg
Step 2 is 25 mg/kg × 3.9 kg = 97.5 mg
Step 3 is 97.5 mg ÷ (125 mg/5 mL) = 3.9 mL
The newborn will receive 3.9 mL in 24 hours.
Correct Answer is []
Explanation
Rationale for correct condition: Hyperemesis gravidarum is a severe form of nausea and vomiting during pregnancy, leading to dehydration, weight loss, and electrolyte imbalance. The client's significant weight loss of 2.8 kg (6.2 lb) in two weeks, increased nausea and vomiting, and decreased appetite are classic symptoms. The elevated BUN level suggests dehydration, which aligns with hyperemesis gravidarum. The absence of abdominal pain and the presence of facial pallor further support this condition.
Rationale for actions:
- Initiate IV fluid therapy to rehydrate the client and correct electrolyte imbalances caused by excessive vomiting.
- Administer ondansetron IV to control nausea and vomiting, improving the client's ability to tolerate oral intake.
Rationale for parameters:
- Weight should be monitored to assess the effectiveness of interventions and ensure the client is regaining or maintaining a healthy weight.
- Urine output indicates hydration status and kidney function, helping to evaluate the adequacy of fluid replacement.
Rationale for incorrect conditions:
- Cholecystitis: The client denies abdominal or epigastric pain, which is a key symptom of cholecystitis.
- Gestational diabetes mellitus: There is no mention of elevated blood glucose levels or other diabetic symptoms.
- Preeclampsia: The client's blood pressure is within normal range, and there are no signs of hypertension or proteinuria.
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