Try Naxlex NCLEX-RN (Free-Trial)

Read the case scenario and Select All That Apply

Using your clinical judgment, how should the nurse respond to this patient? Select All the best responses. (Select All that Apply.)

Explain that initial fetal movements, known as "quickening," typically occur between 16 and 20 weeks of pregnancy, so she may begin feeling movement soon.

Inform her that absence of fetal movement at this stage always indicates fetal distress.

instruct her to immediately come to the hospital for fetal monitoring due to lack of movement at 18 weeks,

Advise her to increase hydration and rest in a quiet environment to better detect fetal movement

Suggest keeping a daily record of fetal movements starting around 24 weeks to monitor fetal well-being

Reassure her that first-time mothers often feel fetal movement closer to 20 weeks, which is normal.

Answer and Explanation

Correct Answer : A,D,E,F

A. Explain that initial fetal movements, known as "quickening," typically occur between 16 and 20 weeks of pregnancy, so she may begin feeling movement soon: Quickening usually begins during this window, with variation depending on maternal factors. At 18 weeks, it is normal for a primigravida not to have felt movement yet, and reassurance is appropriate.

B. Inform her that absence of fetal movement at this stage always indicates fetal distress: Fetal distress cannot be determined at 18 weeks based on lack of perceived movement. Many women, especially first-time mothers, do not recognize fetal activity until closer to 20 weeks, so this statement would cause unnecessary alarm.

C. Instruct her to immediately come to the hospital for fetal monitoring due to lack of movement at 18 weeks: Immediate monitoring is unnecessary at this gestational age. Fetal movements may not yet be detectable, and intervention is only indicated if movement is absent after 20–22 weeks or if previously felt movements decrease later in pregnancy.

D. Advise her to increase hydration and rest in a quiet environment to better detect fetal movement: Resting in a calm setting and ensuring good hydration can make subtle movements easier to perceive. These strategies help the mother tune into early fetal activity without causing anxiety.

E. Suggest keeping a daily record of fetal movements starting around 24 weeks to monitor fetal well-being: Kick counts and fetal movement tracking are recommended beginning around 24–28 weeks, once movements become regular and strong enough to monitor consistently.

F. Reassure her that first-time mothers often feel fetal movement closer to 20 weeks, which is normal: Primigravidas usually perceive fetal movements later than multiparas because they are less familiar with the sensations. Reassurance at this stage helps reduce anxiety while setting realistic expectations.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","C","D","E","F"]

Explanation

A. Maintains a stable temperature for the fetus: Amniotic fluid helps regulate thermal conditions within the uterus, providing a consistent environment that protects the fetus from external temperature fluctuations and promotes optimal growth.

B. Serves as a source of nutrients during the first trimester: Amniotic fluid does not serve as a significant source of nutrients. Fetal nutrition in early pregnancy primarily comes from maternal blood through the chorionic villi and later via the placenta, not from the amniotic fluid.

C. Allows for fetal movement and musculoskeletal development: The fluid provides space and buoyancy for fetal movement, which is essential for developing muscles, bones, and joints. Restricted fluid volume can lead to limb contractures or impaired musculoskeletal growth.

D. Aids in fetal lung development through practice breathing movements: As the fetus inhales and exhales amniotic fluid, it promotes alveolar expansion and lung maturation, an essential process for postnatal respiratory function.

E. Cushions the fetus from trauma: Amniotic fluid absorbs external shocks and impacts, protecting the fetus from maternal movements or minor abdominal pressure. This cushioning helps prevent injury and maintains fetal safety.

F. Prevents umbilical cord compression: Adequate amniotic fluid volume ensures that the cord floats freely, reducing the risk of cord compression, which could impair blood flow and oxygen delivery to the fetus.

A. voluntary bearing down efforts. B. the shape of the woman's bony pelvis. C. antibiotic administration for a GBS + patient. D. size of the fetal head. E. presentation of the fetus.

Correct Answer is ["A","B","D","E"]

Explanation

A. Voluntary bearing down efforts: The strength, timing, and coordination of the mother's pushing efforts significantly affect fetal descent and the progress of the second stage of labor. Ineffective bearing down can delay birth, while effective efforts promote smoother fetal expulsion.

B. The shape of the woman's bony pelvis: Pelvic shape and dimensions determine how easily the fetal head can pass through the birth canal. A gynecoid pelvis is most favorable, whereas android or platypelloid types can impede progress and increase labor complications.

C. Antibiotic administration for a GBS + patient: While antibiotics are essential for preventing neonatal infection, they do not influence the physical mechanics or progression of labor. Their purpose is prophylactic rather than to affect the labor process itself.

D. Size of the fetal head: A large fetal head relative to the maternal pelvis can lead to cephalopelvic disproportion, slowing or arresting labor progress. Optimal fit between fetal head size and pelvic dimensions promotes efficient descent and delivery.

E. Presentation of the fetus: The way the fetus enters the pelvis—whether cephalic, breech, or face presentation—directly affects labor progression. Cephalic presentation, especially occiput anterior, allows for smoother navigation through the pelvis.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Read the case scenario and Select All That Apply Using your clinical judgment, how should the nurse respond to this patient? Select All the best responses. (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the functions of amniotic fluid with a group of prenatal patients. Which of the following are functions of amniotic fluid? (Select All that Apply.)

Correct Answer is ["A","C","D","E","F"]

Explanation

The nurse caring for a patient in labor knows factors that affect the progression of labor and birth are: Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

Which interventions would help alleviate the problems associated with access to health care for maternity patients? (Select all that apply.)

A pregnant client in her third trimester complains of lower back pain. The nurse explains that this discomfort is common due to postural changes. Which of the following best explains the role of lordosis in pregnancy-related back pain?

Prenatal testing for human immunodeficiency virus (HIV) is recommended for

A nurse is completing a prenatal assessment for a 30-year-old client at 26 weeks gestation. The client reports frequently craving and eating small amounts of laundry starch. Which of the following additional findings would most strongly support a diagnosis of Pica?

A couple presents to the clinic with concerns about infertility after trying to conceive for 14 months without success. The nurse knows which of the following is the most appropriate initial response?

A pregnant client asks the nurse about the safety of consuming alcohol during pregnancy. Which of the following is the nurse's best response?

Read the case scenario and Select All That Apply

Using your clinical judgment, how should the nurse respond to this patient? Select All the best responses. (Select All that Apply.)