A pregnant client tells the nurse that she felt her baby move this week. A review of the chart reveals that the client is at 14 weeks' gestation by ultrasound. How should the nurse interpret this information?
1. The pregnancy is proceeding normally.
2. Quickening has occurred.
3. The ultrasound date must be wrong.
4. The woman misinterpreted a different sensation as fetal movement.
4
Rationale 1: The mother should be able to feel fetal movement at 17 to 20 weeks.
Rationale 2: Fetal movement felt by the mother is called quickening. The sensation reported by this mother is unusual.
Rationale 3: Today's ultrasounds are very accurate, so it is not likely that this is the issue.
Rationale 4: Gas and other movement in the abdomen may be misinterpreted as fetal movement. Fetal movement should not be felt until 17 to 20 weeks.
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The nurse is caring for a client in active labor. The membranes spontaneously rupture, with a large amount of clear amniotic fluid. Which nursing action is most important to undertake at this time?
1. Assess the odor of the amniotic fluid. 2. Perform Leopold maneuvers. 3. Obtain an order for pain medication. 4. Complete a sterile vaginal exam.
Guidelines for wording questions include:
A) Aim for a reading level of at least the 10th grade B) Use long sentences or phrases to ensure clarity C) Word questions in a positive way D) Put two or more ideas in a single item to save reading
A successful screening program should fulfill what three requirements?
What will be an ideal response?