A nurse is caring for a client during an initial prenatal visit.
The client's last menstrual period was 18 weeks ago.
Which of the following actions should the nurse plan to take?
Obtain the client's personal and family medical history.
Obtain information about prior pregnancies.
Check the client's urine with a reagent strip.
Schedule the client for prenatal laboratory testing.
Discuss chorionic villus sampling with the client.
The Correct Answer is A
Choice A rationale
Obtaining the client's personal and family medical history is essential during the initial prenatal visit. This history helps identify any genetic disorders or chronic conditions that might affect the pregnancy. It also provides insight into the client's overall health and any potential risk factors.
Choice B rationale
Information about prior pregnancies is important but not the first priority. Prior pregnancy information can provide insights into previous complications, but a comprehensive medical history should come first.
Choice C rationale
Checking the client's urine with a reagent strip is not the primary action during an initial visit. Urine tests are useful for detecting infections and certain conditions, but they come after a thorough history has been obtained.
Choice D rationale
Scheduling the client for prenatal laboratory testing is necessary, but it follows the initial assessment and history-taking. Laboratory tests help confirm the pregnancy and assess overall health but are not the first step.
Choice E rationale
Discussing chorionic villus sampling (CVS) is premature at this stage. CVS is a prenatal test conducted around 10-13 weeks for detecting chromosomal abnormalities, but it's not relevant during the initial visit without understanding the client's medical history.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["July 27"]
Explanation
Step 1 is: October 20 + 7 days = October 27
Step 2 is: October 27 - 3 months = July 27
Step 3 is: July 27 + 1 year = July 27 next year
Final calculated answer: July 27.
Correct Answer is C
Explanation
Choice A rationale
Avoiding foods with strong aromas can help reduce nausea, as certain smells can trigger the sensation. This strategy is usually effective because olfactory stimuli can have a significant impact on nausea and vomiting during pregnancy.
Choice B rationale
Eating crackers or plain toast in the morning can help manage nausea by stabilizing blood sugar levels before getting out of bed. This simple carbohydrate source can provide quick energy and prevent morning sickness.
Choice C rationale
Drinking a glass of orange juice before getting out of bed is not recommended, as the acidity of the juice can irritate the stomach lining and exacerbate nausea. It is better to have bland, non-acidic foods first.
Choice D rationale
Eating a high-carbohydrate snack before going to sleep can help maintain stable blood sugar levels overnight, potentially reducing morning nausea. Carbohydrates are effective in providing sustained energy and preventing dips in glucose that can trigger nausea.
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