The nursing instructor asks a nursing student to describe the process of quickening. Which of the following statements, if made by the student, indicates an understanding of this term?
1. "It is the thinning of the lower uterine segment."
2. "It is the fetal movement that is felt by the mother."
3. "It is irregular painless contractions that occur throughout pregnancy."
4. "It is the soft blowing sound that can be heard when the uterus is auscultated."
2
Rationale: Quickening is fetal movement and is not perceived until the second trimester. Be-tween 16 and 20 weeks' gestation, the expectant client first notices subtle fetal movements that gradually increase in intensity. A soft blowing sound that corresponds to the maternal pulse may be auscultated over the uterus, known as uterine soufflé. This sound is caused by the blood cir-culation to the placenta and corresponds to the maternal pulse. Braxton Hicks contractions are irregular painless contractions that occur throughout pregnancy, although many expectant moth-ers do not notice them until the third trimester. A thinning of the lower uterine segment occurs at about 6 weeks' of gestation and is called Hegar's sign.
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A pregnant woman in her first trimester is having her first prenatal visit. She tells the nurse that she takes red raspberry leaf regularly. What response by the nurse is best?
A. Discuss the cardiovascular problems associated with this substance. B. Explain that it is safe to use during pregnancy. C. Inform the woman that safety has not been established. D. Tell the woman she should not use it during pregnancy.
The population health nurse is reviewing information to include in a presentation on the economics of health care. Which statements should the nurse include in this presentation? (Select all that apply.)
1. Health insurance guarantees a healthy workforce. 2. Educational level is associated with health outcomes. 3. Society benefits from an employed and healthy workforce. 4. Chronic illness in a stable workforce does not impact productivity. 5. Lost productivity from illness has minimal effect on societal outcomes.
Based on data, the nurse interprets which educational program as producing the most graduate nurses annually?
a. Diploma program c. Baccalaureate pro-gram b. Associate degree program d. Master's and doc-toral programs
If Kimmy ate all of the foods in this breakfast menu, how many kcals (calories) did she eat?
a. 153 kcal b. 275 kcal c. 381kcal d. 432 kcal