A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation.
Which of the following information should the nurse include?

Quickening occurs between the first and second months of pregnancy.

Quickening occurs between the fourth and fifth months of pregnancy.

Quickening starts soon after implantation.

Quickening starts during the last weeks of pregnancy.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Quickening occurs between the first and second months of pregnancy. This statement is incorrect. Quickening is the term used to describe the first sensations of fetal movement, which usually occur between the 18th and 20th weeks of pregnancy. During the first and second months of pregnancy, the fetus is too small for the mother to feel any movement. This choice is inaccurate.

Choice B rationale:

Quickening occurs between the fourth and fifth months of pregnancy. This is the correct choice. Quickening typically occurs between the 18th and 20th weeks of pregnancy. It marks an important milestone in pregnancy when the mother can start feeling the baby's movements. This is a key point to include in teaching.

Choice C rationale:

Quickening starts soon after implantation. This statement is inaccurate. Quickening does not occur immediately after implantation. Implantation typically occurs around 6-10 days after fertilization. Quickening happens much later in pregnancy, as previously mentioned, between the fourth and fifth months.

Choice D rationale:

Quickening starts during the last weeks of pregnancy. This statement is also incorrect. Quickening is a term used to describe the first movements of the fetus, and it occurs during the second trimester of pregnancy, not during the last weeks. This choice is not accurate.

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Correct Answer is C

Explanation

Choice A rationale:

Heartburn is a common discomfort during pregnancy, but it is not typically associated with the first trimester. Therefore, it is not a relevant manifestation to include in the teaching for a client in the first trimester.

Choice B rationale:

Constipation is a common discomfort in pregnancy, particularly during the first trimester. However, the question specifically asks about first-trimester manifestations, so this choice is not the most appropriate to include in the teaching.

Choice C rationale:

Urinary urgency is a common discomfort during the first trimester of pregnancy due to hormonal changes and the growing uterus pressing on the bladder. This is a relevant manifestation to include in the teaching for a client in the first trimester.

Choice D rationale:

Supine hypotension, also known as aortocaval compression syndrome, is a phenomenon that occurs when a pregnant woman lies flat on her back, compressing the vena cava and reducing blood flow to the heart. It is not typically associated with the first trimester, and it is more commonly a concern in the later stages of pregnancy. Therefore, it is not a relevant manifestation to include in first-trimester teaching.

A. "I call the doctor if I see any bleeding.”. B. "I'll expect the penis to heal within 24hrs.”. C. "I'll make sure his diaper is loose in the front.”. D. "I'll apply alcohol swab to his penis during diaper changes.”. E. "I wash his penis with warm water and mild soap each day.”. .

Correct Answer is A

Explanation

Choice B rationale:

"I'll expect the penis to heal within 24 hours" is not an accurate understanding of circumcision care. Circumcision healing typically takes longer than 24 hours, and this statement could lead to unrealistic expectations. It's essential for the parent to understand that healing may take several days to a week, and they should watch for signs of infection or other complications.

Choice C rationale:

"I'll make sure his diaper is loose in the front" is not directly related to circumcision care. While keeping the diaper loose can help prevent irritation and discomfort, it does not address specific care for the circumcision site. This statement does not demonstrate an understanding of the key points of circumcision care.

Choice D rationale:

"I'll apply alcohol swab to his penis during diaper changes" is not recommended for circumcision care. Using alcohol swabs can be too harsh on the sensitive skin of a newborn and may lead to irritation. It's generally advised to clean the area with warm water and mild soap or simply allow it to air dry.

Choice E rationale:

"I wash his penis with warm water and mild soap each day" is a correct understanding of circumcision care. Keeping the circumcision site clean with warm water and mild soap is a recommended practice to prevent infection. However, it's important to avoid vigorous scrubbing or excessive cleaning, as this can also cause irritation.

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A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation.Which of the following information should the nurse include?

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A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation.
Which of the following information should the nurse include?