A woman at 28 weeks' gestation is asked to keep a fetal activity diary and to bring the results with her to her next clinic visit. One week later, she calls the clinic and anxiously tells the nurse that she has not felt the baby move for over 30 minutes
The most appropriate initial comment by the nurse would be:
1. "You need to come to the clinic right away for further evaluation."
2. "Have you been smoking?"
3. "When did you eat last?"
4. "Your baby might be asleep."
Correct Answer: 4
Rationale 1: The mother would need to come to the clinic only if there had been no fetal activity for several hours.
Rationale 2: Smoking typically will stimulate the infant.
Rationale 3: After meals, an infant typically is active and moving.
Rationale 4: Lack of fetal activity for 30 minutes typically is insignificant and means only that the infant is sleeping. If the mother truly is concerned, in 30 minutes, she could eat a complex-carbohydrate snack. This would stimulate the infant, and the mother should have fetal activity. But at present, this is an indicator the infant is sleeping.
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