The nurse is explaining the importance of fetal activity assessment to the patient. What should the nurse do to best reinforce the significance of fetal kick counting to the patient?
1. Perform daily phone calls to the patient at work or home.
2. Review the patient's written record of fetal movement at each visit.
3. Ask the patient to remember to count the fetal movements.
4. Explain the rationale for counting fetal movement to the patient.
Correct Answer: 2
Rationale 1: Daily phone calls would take emphasis away from the importance of the patient's counting of fetal movement.
Rationale 2: Patients should be instructed to begin counting fetal movement between 24 and 28 weeks. A fetus that has been active and has a sudden decrease in movements could be conserving energy due to hypoxia. Movements are counted in a specified time period, such as for one hour after each meal, or beginning with arising in the morning.
Rationale 3: Writing down the count is more accurate than the patient's simply remembering. When the nurse examines the written record the patient has kept, it reinforces the importance of the record and improves the likelihood of continued record keeping.
Rationale 4: Knowing the reasons for the counting will increase understanding of the process but will not reinforce its significance of the task.
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