CNM Certified Nurse Midwife

Category - Antepartum

A client comes to the clinic for her first prenatal examination. The nurse midwife determines that the client is in her 12th week of pregnancy. Which of the following is not an expected assessment finding at this time?
  1. Frequent urination
  2. Sonographic evidence of fetal outline
  3. Audible fetal heart through Doppler ultrasound
  4. Ballotement
Explanation
Answer: D - Ballotement usually occurs during the 16th week of pregnancy. Frequent urination is a common complaint during the first trimester. Sonographic evidence of fetal outline is observed as early as the 8th week of pregnancy. The fetal heart is audible with Doppler ultrasound between weeks 10 and 12.
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