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NHA CNT Practice Test Features

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Certified Nurse Technician Sample Test

1 of 5

A woman who is six weeks gestation asks if she can listen to the baby's heart beat. What should be included in the nurse's reply?





Correct Answer:
the heart is formed and beating but is too weak to be heard with a stethoscope.


when a woman who is six weeks pregnant inquires about listening to her baby's heartbeat, it's important to provide accurate and supportive information. at six weeks gestation, the embryonic heart is indeed formed and has started beating. in fact, cardiac activity typically begins around 22 to 23 days post-conception, which corresponds to about four weeks gestation.

despite the fact that the heart is beating at this early stage, it is still too small and its beating too faint to be detected using a regular stethoscope. this is primarily due to the size of the embryo and the insulating effect of the surrounding tissues and uterine walls. a stethoscope, which works by amplifying the sounds of the body, isn't sensitive enough to pick up the faint heartbeat of such a small embryo.

however, there are specialized tools that can detect the heartbeat at this stage of pregnancy. an electronic fetal monitor, also known as a doppler ultrasound device, can often detect a fetal heartbeat by 6 to 7 weeks of gestation. this device uses sound waves to detect the movement of the fetus's heart, converting these movements into audible sounds. it is more sensitive than a traditional stethoscope and is capable of picking up the rapid heartbeat of the developing embryo.

it is important for the nurse to explain these details clearly to the expecting mother, ensuring she understands why a stethoscope cannot be used at this stage and what options are available for early heartbeat detection. this information not only clarifies the medical aspect but also provides reassurance, supporting the mother's bonding process with her baby. additionally, the nurse should encourage the mother to discuss any concerns or questions she may have about the pregnancy and the development of her baby, as ongoing communication is key to effective prenatal care.


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