A woman is 14 weeks pregnant with her first baby.
She asks how long it will be before she feels the baby move.
The best answer is:.
"You should have felt the baby move by now.".
"Within the next month or so, you should start to feel fluttering sensations.".
"The baby is moving; however, you can't feel it yet.".
"Some babies are quiet, and you don't feel them move.".
The Correct Answer is B
Choice A rationale:
Telling the patient that she should have felt the baby move by now might cause unnecessary anxiety if she hasn't experienced fetal movement yet. Fetal movement can vary, and some women might not feel it until later in their pregnancy. This statement does not provide accurate and reassuring information.
Choice B rationale:
Around 14 to 25 weeks of gestation, most women begin to feel fluttering sensations, which are the early movements of the baby. By stating that the patient should start feeling these sensations within the next month or so, the nurse provides an accurate and reassuring response based on the typical timeline for fetal movement.
Choice C rationale:
This statement is incorrect. While the baby is moving, it might not be perceivable to the mother due to various factors such as the position of the placenta or the baby's own activity patterns. Simply stating that the baby is moving does not address the patient's concern about feeling the movements.
Choice D rationale:
Some babies are indeed quiet, and their movements might not be as noticeable to the mother. However, this statement does not provide a specific timeframe or address the patient's immediate concern about when she will start feeling the baby move. It is essential to provide a more informative and reassuring response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Drying the baby after birth and wrapping the baby in a dry blanket helps prevent evaporative heat loss. Newborns have a high surface area-to-body mass ratio, making them vulnerable to heat loss through evaporation. Keeping them dry and warm helps maintain their body temperature within the normal range (around 97.8-99.1°F or 36.5-37.3°C).
Choice B rationale:
Avoiding drafts and air conditioners is important to prevent convective heat loss, not evaporative heat loss. Convective heat loss occurs when warm air around the baby is replaced by cooler air, leading to heat loss.
Choice C rationale:
Placing the baby away from the outside wall and windows is related to radiant heat loss, not evaporative heat loss. Radiant heat loss occurs when the baby loses heat to a colder surface without direct contact.
Choice D rationale:
Warming the stethoscope and the nurse's hands before touching the baby is important for preventing conductive heat loss, not evaporative heat loss. Conductive heat loss happens when the baby comes into direct contact with a colder object or surface.
Correct Answer is A
Explanation
Choice A rationale:
The correct answer. Apnea in premature infants, characterized by pauses in breathing lasting 5 to 10 seconds, is often due to immature central respiratory centers in the brain. These episodes are termed sleep or wakeful apnea and are a common phenomenon in premature infants. The compensatory rapid respiration that follows is the body's attempt to restore oxygen levels.
Choice B rationale:
There is no indication in the scenario that the infant is experiencing severe swings in blood pressure, which would be a concerning condition that would need medical attention.
Choice C rationale:
Premature infants require a neutral thermal environment, but this condition does not cause the specific respiratory pattern described in the question.
Choice D rationale:
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