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 ["A","B"]
Explanation
Choice A rationale
Calling for help and notifying the care provider ensures that expert medical assistance is available promptly for any emergency interventions required.
Choice B rationale
Getting help and preparing the operating room ensures readiness for an immediate cesarean section if fetal distress persists and the situation does not improve rapidly.
Choice C rationale
Starting Pitocin is inappropriate during fetal distress as it may further stress the fetus by increasing contraction frequency and intensity, potentially worsening the situation.
Choice D rationale
Inserting a Foley catheter does not address the immediate concern of fetal distress and would not provide immediate benefit in improving fetal heart rate.
Choice E rationale
Repeating uterine resuscitation measures (e.g., repositioning, oxygen, IV fluids) is essential, but if they are ineffective, additional interventions, such as preparing for possible surgical delivery, are needed.
Correct Answer is B
Explanation
Choice A rationale
Fetal movement felt by the pregnant woman is a presumptive sign of pregnancy, indicating probable fetal presence, but not definitive evidence.
Choice B rationale
Fetal heart rate noted on ultrasound is a positive sign of pregnancy, providing objective evidence of fetal existence within the uterus.
Choice C rationale
A positive pregnancy test indicates probable pregnancy due to hormonal presence, but it is not a definitive confirmation without further clinical evidence.
Choice D rationale
Braxton Hicks contractions are considered probable signs of pregnancy, as they indicate uterine activity without confirming the presence of a fetus.
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