The nurse has received a phone call from a multigravida who is 21 weeks pregnant and has not felt fetal movement yet. The best action for the nurse to take would be to:
1. Reassure the patient 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
Rationale 1: A lack of fetal movement is unusual at 21 weeks, and should be checked.
Rationale 2: Fetal movement can be actively palpated by the patient's physician or a trained examiner, but is unlikely to be self-detected by the mother at this stage.
Rationale 3: Not feeling fetal movement by 21 weeks could indicate that the patient's due date is not accurate or that the fetus has died in utero. The woman should be seen as soon as possible.
Rationale 4: The fetus might have died after or about the 20th week of pregnancy; however, telling the patient that the fetus might have died in utero without confirmation of this fact is nontherapeutic.
You might also like to view...
The chorion and the amnion are the two components of the ________ __________
Fill in the blank(s) with correct word
The nurse working with the mother of a newborn who has spina bifida will place the priority on helping the mother with which of the following needs?
a. emotional support for the mother b. understanding spina bifida completely c. not changing her mind about breastfeeding d. explaining this problem to family and friends
A nurse finds a resident in a long-term care facility crying in her room. The nurse knows that the resident's husband recently passed away. The best action by the nurse is to
1. Gently close the resident's door to provide privacy. 2. Sit quietly with the resident to offer support. 3. Inform the resident that Bingo starts in 5 minutes. 4. Tell the resident that it is time for her shower.
One key to emerging as a leader
a. Is to be perceived by others as likable and knowledgeable b. Is to be forceful in asserting your opinions c. Is to avoid listening to opposing opinions d. Is to be perceived by others as commanding and dominant