The nurse is explaining the importance of fetal activity assessment to a pregnant client. What should the nurse do to best reinforce the significance of fetal kick monitoring?
1. Perform daily phone calls to the client at work or home.
2. Ask the client to remember to count the fetal movements.
3. Explain the reason for counting fetal movement to the client.
4. Review the client's written record of fetal movement at each visit.
3
Explanation:
1. Daily phone calls would take emphasis away from the importance of the client's counting of fetal movement.
2. Writing down the count is more accurate than the client's simply remembering. When the nurse examines the written record the client has kept, it reinforces the importance of the record and improves the likelihood of continued record keeping.
3. Many healthcare providers encourage pregnant women to monitor their unborn child's well-being by regularly assessing fetal activity beginning at 28 weeks' gestation. Vigorous activity generally provides reassurance of fetal well-being, but a marked decrease in activity or cessation of movement may indicate a problem that needs immediate evaluation.
4. Knowing the reasons for the counting will increase understanding of the process but will not reinforce the significance of the task.
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