If a patient calls the doctors office and at 15 weeks gestation complaining that quickening has not occurred you would tell her this is normal. Click on the fetus that represents the number of weeks when you would tell her she should be concerned that quickening has not occurred?
The Correct Answer is "{\"xRanges\":[103.5,203.5],\"yRanges\":[153,253]}"
Quickening often occurs between 18 and 20 weeks gestation in multigravidas and between 16 and 18 weeks in subsequent pregnancies. If quickening has not occurred by 21 weeks, it may be a cause for concern, warranting further evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
Teaching Was Successful:
Transient tachypnea of the newborn happens when the neonate has fluid in the lungs:
Transient tachypnea of the newborn (TTN) is a condition in which the newborn experiences rapid breathing (tachypnea) due to retained fluid in the lungs, often following a cesarean section or a rapid vaginal delivery. The fluid typically resolves on its own within a few hours to a few days.
Respiratory Distress Syndrome is due to a lack of surfactant:
Respiratory Distress Syndrome (RDS) is most commonly seen in preterm infants whose lungs have not developed enough to produce sufficient surfactant, a substance that reduces surface tension in the lungs and prevents the alveoli from collapsing. Lack of surfactant causes difficulty breathing and low oxygen levels.
Apnea occurs when the baby does not breathe for 20 seconds or longer:
Apnea of prematurity refers to the cessation of breathing for 20 seconds or more, often seen in premature infants whose respiratory control mechanisms are immature. This can lead to intermittent cessation of breathing that is typically self-resolving with appropriate monitoring and intervention.
Teaching Needs to Be Reinforced:
Meconium Aspiration Syndrome usually occurs in preterm babies:
Meconium Aspiration Syndrome (MAS) occurs when a newborn inhales meconium into the lungs, often during or before delivery. It is more commonly seen in term or post-term babies rather than preterm babies, as meconium is usually passed during labor in post-term pregnancies. The teaching needs to be reinforced to emphasize that MAS is most common in term or post-term neonates.
Tracheoesophageal Fistula is detected when the baby does not void:
A tracheoesophageal fistula (TEF) is a congenital condition where there is an abnormal connection between the trachea and esophagus. Symptoms typically include coughing, choking, or respiratory distress during feeding, not the inability to void. The teaching needs to be reinforced to clarify that TEF is usually suspected based on feeding difficulties and respiratory symptoms, not urinary issues.
Correct Answer is C
Explanation
A. Sleeping for 6 consecutive hours is not ideal for a 6-day-old newborn, as they should be feeding every 2-3 hours to maintain hydration and adequate nutrition.
B. Breastfeeding every 4 to 5 hours for 5 minutes per breast is too infrequent and brief for a newborn who should be feeding more often and for longer durations.
C. Six to eight wet diapers per day is a good indicator that the newborn is getting enough breast milk, as this indicates appropriate hydration and feeding.
D. Gaining 1 to 2 ounces the first week is below the expected rate of weight gain, which should typically be about 5-7 ounces per week for a newborn.
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