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 A

Explanation

Choice A rationale

50% of the offspring have a chance of developing the disease from the affected parent. Autosomal dominant inheritance means that a single copy of the altered gene in each cell is sufficient to cause the disorder. Thus, each child of an affected parent has a 50% chance of inheriting the condition.

Choice B rationale

Diseases transmitted from a carrier mother to her son typically describe X-linked recessive inheritance, not autosomal dominant. In autosomal dominant conditions, both males and females can be affected, and it doesn't depend on the sex of the parent transmitting the gene.

Choice C rationale

All of the offspring will develop the disease is incorrect. In autosomal dominant inheritance, there is a 50% chance of passing the altered gene to the offspring, not 100%.

Choice D rationale

50% of the offspring will be carriers of the disease from the affected parent is incorrect for autosomal dominant inheritance. There are no "carriers" in autosomal dominant diseases; individuals either have the disease or they don't, based on whether they inherit the altered gene.

A. Administer azithromycin 1 g PO one time. B. Administer ibuprofen 600 mg PO twice a day PRN pain. C. Notify all sexual partners within prior 30 days of the need for STI screening. D. Administer ceftriaxone 250 mg IM now. E. Repeat STI screening at the next prenatal visit in 1 month.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

The correct answer is:

A. Anticipated.

B. Nonessential.

C. Anticipated.

D. Anticipated.

E. Anticipated.

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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

A male newborn is diagnosed with polycystic kidneys which requires autosomal dominant transmission.One of the parents is believed to have this genetic disease. The nurse's teaching should be based on the fact that with autosomal dominant inheritance:

Correct Answer is A

Explanation

For each potential prescription from the provider, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

A father asks the nurse how the baby can exist in fluid for so long without resulting in some harmful effects on the skin.The nurse's best reply would be:

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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?