CRNE Exam Prep

Category - Partnership

Lauren, a G1P0 at 37 weeks’ gestation, calls the clinic and tells the nurse that her baby has been moving a lot less for the past two days. Which of the following responses made by the nurse is the most appropriate in this situation?
  1. “Increase your intake of foods that are high in sugar content.”
  2. “Lie down on your side, and record how long it takes you to feel 10 distinct fetal movements.”
  3. “See your physician as soon as you can. An ultrasound is necessary.”
  4. “You may take a very hot bath to stimulate fetal movement.”
Explanation
Answer: B - The most appropriate response is: “Lie down on your side and note how long it takes for you to feel 10 distinct movements.” This is the most re-assuring response. In the third trimester, it is recommended that pregnant women spend some time each day counting fetal movements. Lying on the side can help the mother concentrate. If the client does not feel ten fetal movements in two hours, she must see her physician right away. Increasing intake of foods that are high in sugar is not recommended, as pregnant women are more vulnerable to cavities. While there is a some evidence that a warm bath could stimulate fetal movement, hot baths should be avoided during pregnancy.
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