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 D

Explanation

Choice A rationale

The fetal heartbeat can be heard with a Doppler at the fourth week of gestation is incorrect. At this early stage, the embryonic heart has only just begun to form, and its activity cannot be detected by Doppler.

Choice B rationale

The fetal heartbeat can be heard with a Doppler at the sixth week of gestation is incorrect. Although the heart begins to beat around this time, it is usually too faint to be detected by Doppler.

Choice C rationale

The fetal heartbeat can be heard with a Doppler at the seventh week of gestation is incorrect. It remains challenging to detect the fetal heartbeat this early with standard Doppler equipment.

Choice D rationale

The fetal heartbeat can be heard with a Doppler at the twelfth week of gestation is correct. By the end of the first trimester, the fetal heart is sufficiently developed and strong enough to be detected using Doppler ultrasound, allowing healthcare providers to monitor fetal well-being.

Correct Answer is ["1.7"]

Explanation

Step 1: 2 mg/kg × 3400 g × (1 kg ÷ 1000 g) = 0.68 mg

Step 2: 68 mg × (1 mL ÷ 0.4 mg) = 1.7 mL.

The nurse will administer 1.7 mL.

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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

At her first prenatal visit, a woman and the nurse are discussing fetal development.The client asks, "When will we be able to hear the baby's heartbeat?" The nurse should reply, The fetal heartbeat can be heard with a Doppler at:

Correct Answer is D

Explanation

A newborn weighs 3400 grams. The healthcare provider has ordered 0.2 mg/kg of atropine sulfate subcutaneously. Based on the label below, how much will the nurse administer in mL? (Write in your answer).

Correct Answer is ["1.7"]

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?