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 D
Explanation
Choice A rationale:
The child's fever in Kawasaki disease is typically unresponsive to antibiotics. The disease primarily affects blood vessels and can lead to the development of coronary artery aneurysms. Antibiotics are not the mainstay of treatment for Kawasaki disease.
Choice B rationale:
Kawasaki disease does not primarily involve the joints. It is a systemic vasculitis that affects medium-sized arteries throughout the body, including the coronary arteries. Joint involvement is not a characteristic feature of this condition.
Choice C rationale:
Aspirin is actually a crucial part of the treatment for Kawasaki disease. High-dose aspirin therapy (80-100 mg/kg/day) is administered until the child is afebrile, then the dose is reduced and continued for several weeks to prevent blood clots and inflammation in the coronary arteries.
Choice D rationale:
This is the correct answer. The therapeutic management of Kawasaki disease includes the administration of intravenous immunoglobulin (IVIG) and aspirin. IVIG helps reduce inflammation and prevent coronary artery abnormalities, while high-dose aspirin is used for its anti-inflammatory and antiplatelet effects. This combination of treatments has been shown to be effective in reducing the risk of coronary artery complications associated with Kawasaki disease.
Correct Answer is A
Explanation
Choice A rationale:
Weighing the infant every day on the same scale at the same time is crucial in monitoring excess fluid volume in congestive heart failure. Sudden weight gain can indicate fluid retention, a common sign of worsening heart failure. Daily weight monitoring helps in early detection and timely intervention.
Choice B rationale:
Notifying the physician when weight gain exceeds more than 20 g/day might be too late for intervention. Daily weight monitoring is essential to detect trends and intervene promptly to manage excess fluid volume.
Choice C rationale:
Placing the infant in a car seat to minimize movement is not directly related to managing excess fluid volume in congestive heart failure. It is essential for safety during transportation but does not address the nursing diagnosis.
Choice D rationale:
Administering digoxin as ordered by the physician is a medical intervention for congestive heart failure. While important, the nursing diagnosis is related to excess fluid volume, and the focus should be on nursing interventions such as monitoring daily weights.
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