Identify the trimester when each fetal development finding occurs. Note: Each category must have at least 1 response option selected.

Gender can be determined

Surfactant production

Sucking occurs

Fetus has a heartbeat

Fetal respiratory movements begin

Increase in body fat

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"C"}}

1st Trimester (Conception-13 weeks)

Fetus has a heartbeat: The fetal heartbeat can typically be detected around 6 weeks gestation using ultrasound, marking the beginning of cardiac development in the first trimester.

2nd Trimester (14-26 weeks)

Gender can be determined: Gender determination through ultrasound is generally possible around the 18-20 week mark in the second trimester when fetal genitalia are more distinguishable.

3rd Trimester (27-40 weeks)

Surfactant production: Surfactant production by the fetal lungs begins in the third trimester, usually around 24-28 weeks, but continues to increase throughout the remainder of pregnancy.
Sucking occurs: Fetal sucking movements start to develop around the 28th week and become more coordinated as the third trimester progresses.
Fetal respiratory movements begin: Fetal respiratory movements, where the fetus practices breathing by moving the diaphragm, begin in the third trimester to prepare for life outside the womb.
Increase in body fat: The fetus begins to accumulate more body fat in the third trimester, which helps with thermoregulation and provides energy reserves for birth and early postnatal life.

Finding	1st Trimester Conception-13 weeks	2nd Trimester 14-26 weeks	3rd Trimester 27-40 weeks

Gender can be determined	☐	☒	☐
Surfactant production	☐	☐	☒
Sucking occurs	☐	☐	☒
Fetus has a heartbeat	☒	☐
Fetal respiratory movements begin	☐	☐	☒
Increase in body fat	☐	☐	☐

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Correct Answer is C

Explanation

A. Establish IV access: Although important for hydration and medication administration, it is not the immediate priority when assessing the fetal condition.
B. Assess the client's vital signs: While important, the immediate assessment of fetal well-being takes precedence to ensure there is no fetal distress.
C. Obtain fetal heart rate: This is crucial to assess the fetus’s condition immediately. Monitoring the fetal heart rate can identify any signs of distress and determine if urgent interventions are necessary.
D. Perform a sterile vaginal exam: This should follow the fetal heart rate assessment to check for labor progress and any complications, but it is not the first priority.

A. Rhythmic suckling B. A slurping sound as the infant sucks C. Tongue down with lips flanged D. Dimpling of the infant's cheeks while sucking E. Audible swallowing

Correct Answer is ["A","C","E"]

Explanation

A. Rhythmic suckling. Indicates the infant is effectively extracting milk.
B. A slurping sound as the infant sucks. This suggests poor latch and possible ingestion of air.
C. Tongue down with lips flanged. Shows that the infant's tongue is extended over the lower gum and lips are flared outward, creating a seal.
D. Dimpling of the infant's cheeks while sucking. Indicates improper latch and poor seal around the breast.
E. Audible swallowing. Indicates milk transfer is occurring as the infant swallows.

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Identify the trimester when each fetal development finding occurs. Note: Each category must have at least 1 response option selected.

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