The nurse has received a phone call from a multigravida who is 21 weeks pregnant and has not felt fetal movement yet. What is the best action for the nurse to take?
1. Reassure the client that this is a normal finding in multigravidas.
2. Suggest that she should feel for movement with her fingertips.
3. Schedule an appointment for her with her physician for that same day.
4. Tell her gently that her fetus is probably dead.
3
Explanation: 3. Quickening, or the mother's perception of fetal movement, occurs about 18 to 20 weeks after the LMP in a primigravida (a woman who is pregnant for the first time) but may occur as early as 16 weeks in a multigravida (a woman who has been pregnant more than once).
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