A woman is 15 weeks pregnant with her first baby.
She asks how long it will be before she feels the baby move.
The best answer is:
Within the next month, you should start to feel fluttering sensations.
You should have felt the baby move by now.
Some babies are quiet and you don’t feel them move.
The baby is moving; however, you can’t feel it yet.
The Correct Answer is A
Choice A rationale
Quickening, the first fetal movements felt by the mother, typically occurs between 16 and 20 weeks of gestation, so she should expect to feel fluttering sensations within the next month.
Choice B rationale
At 15 weeks of gestation, it is too early for most first-time mothers to feel fetal movements. Quickening usually occurs between 16 and 20 weeks, so she has not missed the window.
Choice C rationale
While some fetal movements may be subtle, it is inaccurate to suggest that some babies are entirely quiet. Quickening is generally felt by most mothers between 16 and 20 weeks.
Choice D rationale
The baby is indeed moving, but fetal movements are usually not felt until 16 to 20 weeks of gestation in first-time pregnancies, so it is normal not to feel them yet at 15 weeks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Limited perception of bladder fullness can occur with epidural anesthesia, but it is not the most common or harmful complication. Patients should be monitored for urinary retention.
Choice B rationale
Severe afterbirth headache, or post-dural puncture headache, can result from epidural complications, but it is less common than hypotension.
Choice C rationale
Hypotension is the most common and potentially harmful complication of epidural anesthesia. It occurs due to sympathetic nerve blockade, leading to vasodilation and decreased cardiac output. Normal blood pressure ranges: systolic 90-120 mmHg, diastolic 60-80 mmHg.
Choice D rationale
Increased respiratory rate is not a common complication of epidural anesthesia. It is more likely related to anxiety or other factors and should be monitored accordingly.
Correct Answer is D
Explanation
Choice A rationale
Placental insufficiency can cause late decelerations in fetal heart rate due to decreased blood flow, but it typically shows a gradual decrease rather than the abrupt patterns seen here.
Choice B rationale
Abruption usually presents with painful vaginal bleeding and a tender uterus, rather than specific changes in fetal heart rate patterns like those described in the question.
Choice C rationale
Head compression results in early decelerations, which appear as a mirror image of contractions, but these are not sudden drops in heart rate typically seen in cord compression.
Choice D rationale
Cord compression leads to variable decelerations characterized by sudden drops in fetal heart rate, caused by temporary reduction in oxygen flow to the fetus. This matches the tracing pattern described.
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