The health care provider reports that the primigravida's fundus can be palpated at the umbilicus. Which priority question will the nurse include in the client's assessment?
a. "Have you noticed that it is easier for you to breathe now?"
b. "Would you like to hear the baby's heartbeat for the first time?"
c. "Have you felt a fluttering sensation in your lower pelvic area yet?"
d. "Have you recently developed any unusual cravings, such as for chalk or dirt?"
ANS: C
Quickening is the first maternal sensation of fetal movement and is often described as a fluttering sensation. Quickening is detected at approximately 20 weeks in the primigravida and as early as 16 weeks in the multigravida. The fundus is at the umbilicus at 20 weeks' gestation. Lightening is associated with descent of the fetal head into the maternal pelvis and is associated with improved lung expansion. Lightening occurs approximately 2 weeks before birth in the primipara. Fetal heart tones can be detected by Doppler as early as 9 to 12 weeks of gestation. Pica is the craving for non-nutritive substances such as chalk, dirt, clay, or sand. It can develop at any time during pregnancy. It can be associated with malnutrition and the health care provider should monitor the client's hematocrit/hemoglobin, zinc, and iron levels.
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True False