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.”. .

Answer and Explanation

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. .

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

Choice A Rationale

Administer azithromycin 1 g PO one time: Anticipated. Azithromycin is commonly used to treat chlamydia infections during pregnancy and is considered safe.

Choice B Rationale

Administer ibuprofen 600 mg PO twice a day for pain: Contraindicated. Ibuprofen is generally avoided during pregnancy, especially in the third trimester, due to risks such as premature closure of the fetal ductus arteriosus.

Choice C Rationale

Notify all sexual partners within prior 30 days of the need for STI screening: Anticipated. Notification of sexual partners for STI screening is a standard public health practice to prevent the spread of infections.

Choice D Rationale

Administer ceftriaxone 250 mg IM now: Anticipated. Ceftriaxone is often used to treat gonorrhea infections during pregnancy and is considered safe for both mother and fetus.

Choice E Rationale

Repeat STI screening at next prenatal visit in 1 month: Anticipated. Repeating STI screening can help ensure that any new or untreated infections are identified and managed appropriately.

Choice F Rationale

Notify the appropriate public health agency: Anticipated. Reporting certain STIs to public health agencies is required by law to help track and control the spread of infections.

A. Call the healthcare provider. B. Elevate the head of the bed. C. Encourage deep breathing. D. Turn her to her side.

Correct Answer is D

Explanation

Choice A rationale

Calling the healthcare provider delays immediate intervention needed to alleviate the client's symptoms of dizziness and nausea due to supine hypotensive syndrome. Quick repositioning is crucial to improve venous return and alleviate the symptoms.

Choice B rationale

Elevating the head of the bed will not relieve the pressure on the inferior vena cava caused by the supine position. This intervention does not address the underlying cause of the client's symptoms.

Choice C rationale

Encouraging deep breathing is unlikely to resolve the symptoms of supine hypotensive syndrome, which is caused by the compression of the vena cava by the gravid uterus when lying supine. This intervention does not address the physiological cause.

Choice D rationale

Turning her to her side relieves the pressure on the inferior vena cava, improving venous return and increasing blood pressure. This is the correct initial action to address the symptoms of supine hypotensive syndrome.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For each potential prescription from the provider, specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

The nurse is assessing a woman in early labor.While positioning her for a vaginal exam, she complains of dizziness and nausea and appears pale.Her blood pressure has dropped slightly.What is the appropriate initial nursing action?

Correct Answer is D

Explanation

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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: