MEDizzy - A 34-year-old multiparous client at 16 weeks’ gestation who

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Pregnant Client Receiving Prenatal Care

A 34-year-old multiparous client at 16 weeks’ gestation who received regular prenatal care for all of her previous pregnancies tells the nurse that she has already felt the baby move. The nurse interprets this as which of the following?

ExplanationAlthough most multiparous women experience quickening at about 171⁄2 weeks’ gestation, some women may perceive it between 14 and 20 weeks’ gestation because they have been pregnant before and know what to expect. Detecting movement early does not suggest a twin pregnancy. If the multiparous client does not experience quickening by 20 weeks gestation, further investigation is warranted, because the fetus may have died, the client has a hydatidiform mole, or the pregnancy dating is incorrect. There is no evidence that the client’s expected date of delivery is erroneous.