NHM UP Staff Nurse-2021 Shift-1st
Obstetrics & Gynaecology (E5)
Easy

The fetal movement felt by the mother is called

Appeared in: NHM UP Staff Nurse-2021 Shift-1st

Explanation

  • Quickening is the specific medical term for the first fetal movements that the mother can feel.
  • This is a subjective sensation, often described as a flutter, gas bubble, or gentle kick.
  • It is classified as a presumptive sign of pregnancy because it is based on the mother's personal experience rather than an objective finding by a healthcare provider.
  • Typically, it is first noticed between 16 and 20 weeks of gestation, varying between first-time mothers and those with previous pregnancies.

Why Other Options Were Wrong

  • Option A: Braxton Hicks contractions are irregular, painless uterine contractions. They are related to the uterus, not the fetus's movement.
  • Option C: Goodell's sign is the softening of the cervix, an objective change detected by a healthcare provider during a pelvic exam. It is not a sensation felt by the mother.
  • Option D: Hegar's sign is the softening of the lower uterine segment (isthmus). Like Goodell's sign, it is an objective sign found by an examiner and not a fetal movement felt by the mother.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Terminology of Pregnancy Signs as background academic context rather than a clinical decision trigger.
  • Educating expectant mothers about quickening is a key part of antenatal care. It helps them understand their pregnancy milestones and provides reassurance.
  • The timing of quickening can be a helpful, though not precise, indicator in estimating gestational age, especially if the last menstrual period is uncertain.
  • A mother's report of fetal movement is a vital sign of fetal well-being. Nurses instruct mothers to monitor these movements daily later in pregnancy.
How to Approach the Question
  • First, identify the core of the question: it's asking for the specific term for 'fetal movement felt by the mother'.
  • Recognize this as a factual recall question common in obstetrics, requiring knowledge of specific terminology.
  • Systematically review each option and define it based on your knowledge of pregnancy signs.
  • Option A, Braxton Hicks, relates to uterine contractions.
  • Options C and D, Goodell's and Hegar's signs, relate to physical changes in the cervix and uterus detected by an examiner.
  • Option B, Quickening, directly matches the definition of the mother's first perception of fetal movement. Select this as the correct answer.
Concept Tested & Keywords
  • Concept Tested: Terminology of Pregnancy Signs
  • Stem keywords: fetal movement, felt by the mother
  • Lead-in keywords: is called

Question ID

QsX1XIQS00szvLxyyWT8wY

Reference Book

E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur pp. 6-11, 7-12

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart B (pp 276-535 of 550) p. 224-226

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