A midwife instructs a client at 20 weeks’ gestation to observe and record the number of fetal movements on a daily basis to assess the well - being of her baby. The midwife teaches the client how to count and record fetal movements through the Cardiff method. All of the following instructions are appropriate except:
  1. Feel for fetal movements for one hour at three different times a day.
  2. Count the fetal movements in one session that is scheduled at the same time each day.
  3. Chart how long it takes to feel 10 fetal movements.
  4. Call the office or the physician if there are fewer than 10 fetal movements in 10 hours.
Explanation
Answer: A - Feeling and counting for fetal movements for one hour at three different times a day describes the Sandovsky method. The other options accurately describe the Cardiff method, which is also known as the Count - to - Ten method. No research has actually proven which method works better. Instead of focusing on the method used, the midwife should give more emphasis on being aware of the consistency of the fetal movement patterns.
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