A woman at 28 weeks' gestation reports not feeling the baby move for over 30 minutes. How should the nurse respond first?
1. "When did you eat last?"
2. "Have you been smoking?"
3. "Your baby might be asleep."
4. "You need to go to the emergency room immediately for further evaluation."
3
Explanation:
1. After meals, an infant typically is active and moving.
2. Smoking typically will stimulate the infant.
3. Lack of fetal activity for 30 minutes typically is insignificant and means only that the infant is sleeping. The mother should continue to observe for fetal movements over the next 2.5 hours. If a lack of fetal movements continues, she should contact the healthcare provider.
4. The mother would need to come to be examined if there had been no fetal activity for several hours.
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