question archive A nurse is caring for four clients
A nurse is caring for four clients
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A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit?
A client who has a crown-rump length of 7 weeks gestation
A client who has an ultrasound that confirms a molar pregnancy
A client who has felt quickening for the first time
A client who has a positive urine pregnancy test 1 week after missed menses
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Answer:
The nurse should auscultate the fetal heart rate of the client who has felt quickening for the first time.
Answer - A client who has felt quickening for the first time.
quickening is the sensation felt by the mother when the baby moves in the womb. It is normally started during 17 weeks of gestation.
In this case, the nurse should do complete physical examination with ascultation of fetal heart rate.
Other options are wrong because:-
A client who has a crown-rump length of 7 weak gestations. (CRL is a measurement of the embryo, which is done by Ultrasound. So, here we can obtain a fetal heart rate by USG)
A client who has an ultrasound that confirms molar pregnancy. (It is a non-viable pregnancy)
A client who has a positive urine pregnancy test 1 week after missed menses. (Fetal heart rate is detected after 5 to 6 weeks of gestation)
