What instructions should the nurse provide to a pregnant client regarding fetal kick counts?

Report only movements that are strong enough to hurt

Choose a different time frame each day to count movements

Count fetal movements for 1 hour at the same time each day

Call the office if they feel no movement for any 15 minute period

Answer and Explanation

The Correct Answer is C

A. Report only movements that are strong enough to hurt: Fetal movements should be counted regardless of their intensity. It's important to track all movements to monitor fetal well-being, not just those that are painful or strong.

B. Choose a different time frame each day to count movements: It is important to count fetal movements at the same time each day to establish a consistent pattern and help identify any changes that may indicate concerns. A consistent time frame provides a more reliable assessment.

C. Count fetal movements for 1 hour at the same time each day: The most common recommendation is to count fetal movements for 1 hour, ideally at the same time each day. This allows the mother to notice any changes in fetal activity, which could be indicative of a problem.

D. Call the office if they feel no movement for any 15-minute period: While any significant decrease in fetal movement should be reported, 15 minutes without movement is not usually the threshold for concern. If there is a significant decrease over a longer period, the healthcare provider should be contacted.

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Correct Answer is A

Explanation

A. "Many pregnant individuals feel this way during the first trimester": This response is appropriate as it normalizes the client's feelings, acknowledging that uncertainty and mixed emotions are common in early pregnancy.

B. "Do not worry. Once you hold this baby, everything will be fine": This response dismisses the client's emotions and assumes a future outcome without offering support or validating their current feelings.

C. "We can refer you to a clinic for potential termination if you desire": While providing options is important, suggesting termination too soon may overwhelm the client without fully understanding their emotional needs.

D. "You will become excited and happy when you feel the baby move": This response assumes the client's future emotional state and does not allow space for the client to process their feelings at their own pace.

A. "It's a bit too soon. Most babies sit steadily at 4 months" B. "Once the first tooth comes in, sitting independently will soon follow" C. "That's not unusual because most babies do not sit by themselves until about 8 months" D. "That's interesting because most babies sit steadily at 3 months"

Correct Answer is C

Explanation

A. "It's a bit too soon. Most babies sit steadily at 4 months": While 2 months is certainly too early for independent sitting, at 4 months, babies often sit with support but true independent, steady sitting typically develops by 6 to 8 months.

B. "Once the first tooth comes in, sitting independently will soon follow": There is no correlation between the eruption of the first tooth and sitting independently. Sitting independently is more related to motor development, not teething.

C. "That's not unusual because most babies do not sit by themselves until about 8 months": While infants can begin to sit with support around 4-6 months, true independent, steady sitting (without support and for extended periods) is typically achieved around 6 to 8 months of age.

D. "That's interesting because most babies sit steadily at 3 months": It is too early for most babies to sit independently at 3 months. Most babies develop the ability to sit independently between 6 to 8 months.

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What instructions should the nurse provide to a pregnant client regarding fetal kick counts?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client at 8 weeks' gestation who states, "I did not plan for this right now and I am not happy or excited about this pregnancy. I am not sure what to do." Which response by the nurse is best?

Correct Answer is A

Explanation

The mother of a 2-month-old baby tells the nurse, "I'm worried because my baby isn't able to sit independently." Which response by the nurse would be appropriate?

Correct Answer is C

Explanation

A child weighs 52 lb. The child has a fever and the doctor orders acetaminophen. The safe dose range of this medication is 10-15 mg/kg every 6 hours. What is the maximum safe daily dose of the medication the client can receive? Round to the nearest whole number. Record numerical answers only.

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