Which of the following could indicate a compromised fetus?
a. decrease in fetal movement during the ninth month
b. fluttering movements at 20 weeks
c. no fetal movement by 12 weeks
d. a fetal heart rate of 155
A
Fetal movements felt in utero, known as quickening, are noticed by the pregnant woman as fluttering or kicking, and initially may be difficult to differentiate from other pregnancy symptoms such as gas and ligament stretching. Failure to notice fetal movement by 20 weeks or any decrease in fetal movement requires rapid evaluation. Fetal movement can be perceived at 18–20 weeks in a primigravida and 16–18 weeks in subsequent pregnancies. A fetal heart rate of 110 to 160 bpm is in the normal range.
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