Quickening
The first fetal movements perceived by the mother
Definition
Quickening is the first perception by a pregnant woman of fetal movement, typically occurring between 16 and 20 weeks gestation (earlier in multiparas).
Significance
- Confirms fetal vitality
- Helps estimate gestational age
- Encourages maternal-fetal bonding
Kick Counts
In third trimester, mothers are often taught to monitor fetal movement: 10 movements in 2 hours is reassuring. Decreased movement warrants provider notification and non-stress test.
Nursing Considerations
Teach mothers to perform kick counts in late pregnancy, such as choose a quiet time, lie on left side, count movements. Report decreased fetal movement, absence of movement for 12 hours, or any concerning changes immediately.
NCLEX Relevance
Quickening: 16 to 20 weeks in primiparas, earlier in multiparas.