Author Question: A pregnant patient is directed to perform a daily fetal movement count. What should the nurse ... (Read 32 times)

berenicecastro · **on:** Jun 27, 2018

A pregnant patient is directed to perform a daily fetal movement count. What should the nurse instruct the patient about this count? (Select all that apply.)

A) Lie down to do the count after eating a meal.
B) Count only movements that are strong enough to hurt.
C) Report if no movement is felt for any half-hour period.
D) Choose a different time frame each day to count movements.
E) Count fetal movements until a total of 10 are counted and record the time.

Question 2

After the nurse describes fetal circulation to a pregnant woman, the woman asks why her fetus has a different circulation pattern than hers. In planning a response, the nurse integrates understanding of which of the following?

A) Fetal blood is thicker than that of adults and needs different pathways.
B) Fetal circulation carries highly oxygenated blood to vital areas first.
C) Fetal blood has a higher oxygen saturation and circulates more slowly.
D) Fetal heart rates are rapid and circulation time is double that of adults.

manuelcastillo · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, E
Feedback:
A healthy fetus moves at about 10 times per hour. The nurse should instruct the patient to lie in a left recumbent position after a meal, observe and record the number of fetal movements or kicks the fetus makes until 10 movements are counted, and record the time. If an hour passes without 10 movements, the patient should walk around a little and try a count again. If 10 movements cannot be felt in a second 1-hour period, the patient should telephone the primary health care provider.

Answer to Question 2

B
Feedback:
Fetal circulation functions to carry highly oxygenated blood to vital areas first while shunting it away from less vital ones. Fetal blood is not thicker than that of adults. Large volumes of oxygenated blood are not needed because the placenta essentially takes over the functions of the lung and liver during fetal life. Although fetal heart rates normally range from 120 to 160 beats per minute, circulation time is not doubled.