A woman is 15 weeks pregnant with her first baby.
She asks how long it will be before she feels the baby move.
The best answer is:
Within the next month, you should start to feel fluttering sensations.
You should have felt the baby move by now.
Some babies are quiet and you don’t feel them move.
The baby is moving; however, you can’t feel it yet.
The Correct Answer is A
Choice A rationale
Quickening, the first fetal movements felt by the mother, typically occurs between 16 and 20 weeks of gestation, so she should expect to feel fluttering sensations within the next month.
Choice B rationale
At 15 weeks of gestation, it is too early for most first-time mothers to feel fetal movements. Quickening usually occurs between 16 and 20 weeks, so she has not missed the window.
Choice C rationale
While some fetal movements may be subtle, it is inaccurate to suggest that some babies are entirely quiet. Quickening is generally felt by most mothers between 16 and 20 weeks.
Choice D rationale
The baby is indeed moving, but fetal movements are usually not felt until 16 to 20 weeks of gestation in first-time pregnancies, so it is normal not to feel them yet at 15 weeks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Hypertension is not a common side effect of epidural blocks; instead, hypotension is more likely due to vasodilation. Monitoring for hypertension is not the most important intervention.
Choice B rationale
Bradycardia is a potential side effect of epidural blocks due to sympathetic blockade. Monitoring the maternal pulse for bradycardia ensures timely intervention if this side effect occurs.
Choice C rationale
Epidural blocks do not typically cause fetal tachycardia. Monitoring the fetus for tachycardia is not the primary nursing intervention following epidural administration.
Choice D rationale
Limiting parenteral fluids is not advised after an epidural block as fluids are essential to counteract potential hypotension. Fluid management is crucial to maintain maternal and fetal hemodynamics.
Correct Answer is B
Explanation
Choice A rationale
Rubella vaccination is contraindicated during pregnancy due to the live virus, which poses a risk to the fetus. Administration should occur postpartum to avoid congenital rubella syndrome in the infant.
Choice B rationale
This statement is correct as rubella vaccination should be deferred until after delivery. It avoids exposure to the live virus during pregnancy, protecting fetal health.
Choice C rationale
The Tdap vaccine is recommended during each pregnancy, typically between 27 and 36 weeks gestation, to boost maternal antibodies and provide passive immunity to the newborn.
Choice D rationale
The flu vaccine is recommended during pregnancy to protect both the mother and the baby from influenza. It reduces the risk of severe illness and complications from the flu.
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