The nurse is seeing prenatal patients in the clinic. Which patient is exhibiting expected findings?
1. Primip at 12 weeks with fetal heart tones heard by Doppler fetoscope
2. Multip at 22 weeks who reports no fetal movement felt yet
3. Primip at 26 weeks with fundal height of 30 cm
4. Multip at 12 weeks reports bright red vaginal bleeding.
Correct Answer: 1
Rationale 1: This is an expected finding because fetal heart tones should be heard by 12 weeks using an ultrasonic Doppler fetoscope.
Rationale 2: This is an abnormal finding. Fetal movement should be felt by 20 weeks.
Rationale 3: This is an abnormal finding. Beginning in the second trimester, the fundal height should correlate with weeks of gestation; thus, at 26 weeks' gestation, the fundal height should be about 26 cm.
Rationale 4: This is an abnormal finding. Bright red bleeding during pregnancy is never expected.
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