A pregnant client at 35 weeks' gestation makes this statement to the nurse: "My baby has been very active up until yesterday when I hardly remember him moving." The nurse should
a. bring the information to the attention of the physician or certified nurse midwife
b. listen to the fetal heart tones and reassure the client
c. send the client home with instructions to monitor fetal movement
d. tell the client that babies often quit movement close to term
A
A dramatic decrease or complete lack of fetal movement needs to be reported immediately to the health care provider for follow-up, as it may signal a serious fetal problem. Listening to the fetal heart tones and reassuring the client are appropriate, but they are not the most significant. Sending the client home with instructions to monitor fetal movement is an inappropriate and irresponsible nursing intervention in this situation. Telling the client that babies often quit movement close to term is a false and irresponsible action.
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