A woman is 14 weeks pregnant with her first baby.
She asks how long it will be before she feels the baby move.
The best answer is:.
"You should have felt the baby move by now.".
"Within the next month or so, you should start to feel fluttering sensations.".
"The baby is moving; however, you can't feel it yet.".
"Some babies are quiet, and you don't feel them move.".
The Correct Answer is B
Choice A rationale:
Telling the patient that she should have felt the baby move by now might cause unnecessary anxiety if she hasn't experienced fetal movement yet. Fetal movement can vary, and some women might not feel it until later in their pregnancy. This statement does not provide accurate and reassuring information.
Choice B rationale:
Around 14 to 25 weeks of gestation, most women begin to feel fluttering sensations, which are the early movements of the baby. By stating that the patient should start feeling these sensations within the next month or so, the nurse provides an accurate and reassuring response based on the typical timeline for fetal movement.
Choice C rationale:
This statement is incorrect. While the baby is moving, it might not be perceivable to the mother due to various factors such as the position of the placenta or the baby's own activity patterns. Simply stating that the baby is moving does not address the patient's concern about feeling the movements.
Choice D rationale:
Some babies are indeed quiet, and their movements might not be as noticeable to the mother. However, this statement does not provide a specific timeframe or address the patient's immediate concern about when she will start feeling the baby move. It is essential to provide a more informative and reassuring response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The dosage prescribed for the child is 40 mg/kg/day, twice a day for 10 days. The child weighs 44 lbs, which is approximately 20 kg (1 lb = 0.45 kg). Therefore, the total daily dosage would be 40 mg/kg * 20 kg = 800 mg. This is split into two doses, so each dose would be 400 mg, not 400 mg per 5 ml as in the suspension.
Choice B rationale:
As explained above, the total daily dosage is 800 mg, split into two doses of 400 mg each. The suspension is written as 400 mg/5 ml, so one dose would be 400 mg.
Choice C rationale:
This choice is incorrect because it does not accurately calculate the dosage based on the child's weight and the prescribed dosage regimen.
Choice D rationale:
This choice is incorrect because it suggests a higher dose than what is prescribed. The correct dosage, based on the child's weight and prescription, is 800 mg per day, split into two doses of 400 mg each.
Correct Answer is A
Explanation
Choice A rationale:
It is a belief common at this age. Rationale: The child's belief that she has cancer because God is punishing her for "being bad" and her fear of going to hell if she dies is consistent with magical thinking, which is common in children around the age of 8. Children at this age often have difficulty understanding cause and effect relationships, leading to magical or illogical thinking patterns. It is essential for the nurse to recognize this developmental aspect and respond empathetically and supportively.
Choice B rationale:
Choice C rationale:
The belief is suggestive of excessive family pressure. Rationale: There is no evidence in the scenario to suggest that the child's belief is related to family pressure. The child's statements are more consistent with age-appropriate magical thinking and fear related to concepts of punishment and the afterlife.
Choice D rationale:
The statement suggests a failed attempt to develop a conscience. Rationale: The child's belief does not indicate a failed attempt to develop a conscience. Instead, it reflects a typical developmental stage where children often have magical thoughts and fears. This stage is temporary and part of normal cognitive development.
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