A primigravida is 18 weeks gestation and asks the nurse how long it will be until she feels the baby move.
The best response by the nurse is:
"Within the next week or so you should feel a fluttering sensation.”.
"Some babies don't move until the sixth month of pregnancy.”.
"The baby is moving but you can't feel it.”.
"You should have felt the baby move by now.”. .
The Correct Answer is A
Choice A rationale
Quickening, the first movements of the fetus felt by the mother, typically occurs between 18-20 weeks gestation. At 18 weeks, it's likely the mother will feel a fluttering sensation soon.
Choice B rationale
While fetal movements can sometimes be felt later, it's generally expected that by 18-20 weeks, movements should be noticeable.
Choice C rationale
The baby does move at 18 weeks, but the mother typically begins to feel these movements at this stage, known as quickening.
Choice D rationale
Suggesting the mother should have felt movement by now could cause unnecessary anxiety. Most women feel their baby's movements between 18-20 weeks. .
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
During pregnancy, the body’s production of red blood cells usually increases to meet the increased demands of the growing fetus. Therefore, a drop in hematocrit is not typically due to insufficient red blood cell production.
Choice B rationale
While iron is essential during pregnancy, a reduction in hematocrit levels at 16 weeks' gestation is primarily due to increased plasma volume, rather than iron deficiency. Nutritional counseling may still be beneficial but isn't the primary explanation for this change.
Choice C rationale
A hematocrit level of 34% at 16 weeks is generally not considered indicative of a severe problem. Instead, it is a physiological response to increased plasma volume, known as dilutional anemia of pregnancy.
Choice D rationale
The primary reason for a lower hematocrit count during pregnancy is the increase in blood plasma volume, leading to dilutional anemia. This is a normal adaptation to pregnancy that ensures adequate blood flow to the fetus.
Correct Answer is C
Explanation
Choice A rationale
The sex of the fetus can be determined earlier through ultrasound or blood tests, making amniocentesis at 36 weeks unnecessary for this purpose.
Choice B rationale
Detection of metabolic disorders can also be done earlier in the pregnancy through other tests. Amniocentesis at 36 weeks is not typically used for this purpose.
Choice C rationale
Determining fetal lung maturity is a primary reason for performing an amniocentesis at 36 weeks gestation. This test assesses whether the fetus's lungs are developed enough for the baby to breathe independently after birth.
Choice D rationale
Identification of abnormal fetal cells can be done earlier in pregnancy through amniocentesis or other genetic tests. It is not the primary reason for amniocentesis at 36 weeks.
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