A 16-year-old is making her first prenatal visit to the clinic in her fourth month of pregnancy. What would be the nurse's first responsibility?
Contact the social worker
Schedule the client for pre-natal classes
Teach the client about proper nutrition
Develop a trusting relationship
The Correct Answer is D
A. Contact the social worker:
May be necessary later, but not before establishing rapport and trust.
B. Schedule the client for pre-natal classes:
Important, but the nurse must first build trust to engage the teen in care.
C. Teach the client about proper nutrition:
Education is key, but only effective after trust is built.
D. Develop a trusting relationship:
Teen clients need support, respect, and trust to engage in prenatal care and disclose concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Apply palms of both hands to sides of the uterus:
Used in the second maneuver to determine the fetal position (e.g., back vs. limbs), not lie.
B. Grasp lower uterine segment between thumb and fingers:
Used in the third maneuver to identify the presenting part, not lie.
C. Palpate the fundus of the uterus:
This first maneuver helps identify the part of the fetus in the fundus (head or buttocks) to determine fetal lie.
D. Place doppler to lower uterine segment:
Helps to assess fetal heart tones, not lie.
Correct Answer is ["A","C","D","E"]
Explanation
A. Breast tenderness – A common early symptom caused by hormonal changes, especially increased progesterone and estrogen.
B. Palpable fetal parts – This is a probable sign because a healthcare provider can feel fetal movement or parts through abdominal palpation after mid-pregnancy.
C. Urinary frequency – Often occurs due to hormonal shifts and increased blood flow to the kidneys, as well as pressure from the growing uterus.
D. Amenorrhea (Absence of Menstruation) – A classic sign that often leads people to suspect pregnancy, caused by the hormonal suppression of the menstrual cycle.
E. Morning sickness – Nausea and vomiting commonly occur due to rising hCG (human chorionic gonadotropin) levels, typically starting around the 6th week of pregnancy.
F. Fetal heart rate detected by Doppler device – Considered a positive sign of pregnancy, as fetal heart tones confirm the presence of a living fetus.
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