When nurses help their expectant mothers assess the daily fetal ...

[kaid0807]

When nurses help their expectant mothers assess the daily fetal movement counts (DFMC), they should be aware that:
 
  1. alcohol or cigarette smoke can irritate the fetus into greater activity.
  2. kick counts should be taken every half hour and averaged every 6 hours, with every other 6-hour stretch off.
  3. the fetal alarm signal should go off when fetal movements cease entirely for 12 hours.
  4. obese mothers used to their bodies can assess fetal movement as well as aver-age-sized women.

Question 2

A father and mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has PKU. The couple told the nurse that they were planning to have a second baby.
 
  Because their daughter has PKU, they believe that their next baby is sure not to be affected. Which of the following responses by the nurse is most accurate? 1. Good planning; you need to take advantage of the odds in your favor..
  2. I think you'd better check with your doctor first..
  3. You are both carriers, so each baby has a 25 chance of being affected..
  4. The ultrasound indicates a boy, and boys are not affected with PKU..

[katieost]

Answer to Question 1

3
1. Incorrect. Alcohol and cigarette smoke temporarily reduce fetal movement.
2. Incorrect. The mother should count fetal activity (kick counts) two or three times daily for 60 minutes each time.
3. Correct. No movement in a 12-hour period is cause for investigation and possibly inter-vention.
4. Incorrect. Obese women have a harder time assessing fetal movement.

Answer to Question 2

3
1. Incorrect. There is still an increased likelihood of this couple having another child with PKU. Having already one child with PKU does not guarantee that they will not have another.
2. Incorrect. They do need to discuss their options with their doctor. However, an opportune time has presented itself for the couple to receive correct teaching regarding inherent genetic risks.
3. Correct. There is a 1 in 4 chance that each child produced by this couple will be affected with PKU disorder.
4. Incorrect. There is no correlation with gender because PKU disorder is an autosomal re-cessive pattern disorder.

[kaid0807]

Excellent

[upturnedfurball]

TYSM