The nurse is teaching a pregnant client how to perform daily fetal movement counts.
Which instruction must be included in the teaching?

Lie on back when counting kicks.

You can begin counting fetal movements at 8 weeks gestation.

Call healthcare provider if at least 3 movements are not felt over an hour.

Count movements at the same time each day.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Lie on back when counting kicks is incorrect. It is recommended to lie on the side, preferably the left side, as lying on the back can compress major blood vessels and affect circulation to the fetus.

Choice B rationale

You can begin counting fetal movements at 8 weeks gestation is incorrect. Fetal movements are typically felt by the mother starting around 18-20 weeks of gestation, not as early as 8 weeks.

Choice C rationale

Call healthcare provider if at least 3 movements are not felt over an hour. This is an important guideline as decreased fetal movements can indicate potential issues and should be reported to the healthcare provider for further evaluation.

Choice D rationale

Count movements at the same time each day is a good practice but it is not the most critical instruction. While consistency is beneficial, the immediate action for decreased movements is more urgent.

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Correct Answer is B

Explanation

Choice A rationale

At 16 weeks, the fundal height is typically below the umbilicus. This location is more indicative of a fetus at around 20 weeks.

Choice B rationale

At 20 weeks, the fundal height is usually at the level of the umbilicus, indicating this is the correct gestational age.

Choice C rationale

At 24 weeks, the fundal height is usually above the umbilicus, suggesting a more advanced gestation than the picture indicates.

Choice D rationale

At 28 weeks, the fundal height is significantly above the umbilicus, making this option incorrect for the given scenario.

A. A. "I need to be immunized against syphilis because there is no cure.”. B. "I can change the cat litter as long as I wear gloves.”. C. "The best way to prevent CMV is by thorough and consistent hand hygiene.”. D. "If my RPR is low, I will need a rubella vaccine at delivery.”.

Correct Answer is C

Explanation

Choice A rationale

Syphilis can be treated with antibiotics, particularly penicillin. It is not true that there is no cure, and immunization against syphilis is not available. Proper treatment can prevent transmission to the fetus.

Choice B rationale

Changing cat litter, even with gloves, is not safe for pregnant women due to the risk of toxoplasmosis. Toxoplasmosis can cause serious complications in the fetus, and direct contact with cat feces should be avoided.

Choice C rationale

The best way to prevent CMV (cytomegalovirus) infection is through thorough and consistent hand hygiene. CMV is a common virus that can cause congenital infections, and hygiene practices are crucial for prevention.

Choice D rationale

RPR (Rapid Plasma Reagin) tests for syphilis, not rubella. A rubella vaccine would be needed if the mother is non-immune, but this would be administered post-delivery. The statement reflects a misunderstanding of the tests and vaccines.

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The nurse is teaching a pregnant client how to perform daily fetal movement counts.Which instruction must be included in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse who is assessing a G2 P1 client palpates the fundal height at the location noted on the picture below (near the umbilicus). The nurse concludes that the fetus is equal to which of the following gestational ages?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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The nurse is teaching a pregnant client how to perform daily fetal movement counts.
Which instruction must be included in the teaching?