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.

Answer and Explanation

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.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

The correct answer is:

A. Administer azithromycin 1 g PO one time. Anticipated.

B. Administer ibuprofen 600 mg PO twice a day PRN pain. Nonessential.

C. Notify all sexual partners within the prior 30 days of the need for STI screening. Anticipated.

D. Administer ceftriaxone 250 mg IM now. Anticipated.

E. Notify the appropriate public health agency of the positive diagnostic test results. Anticipated.

F. Administer acyclovir 400 mg PO three times per day. Nonessential. .

A. Immediately. B. One week before her period. C. When pregnancy is confirmed. D. If she misses her period.

Correct Answer is A

Explanation

Choice A rationale

Increasing folic acid intake immediately is recommended because it helps prevent neural tube defects, which can occur very early in pregnancy, often before a woman knows she is pregnant.

Choice B rationale

Starting folic acid intake one week before her period is not sufficient. Folic acid needs to be taken consistently before conception and during early pregnancy to be effective.

Choice C rationale

Waiting until pregnancy is confirmed may be too late to prevent neural tube defects, which form in the early weeks of pregnancy.

Choice D rationale

If she misses her period, it might already be too late to prevent neural tube defects. Consistent intake of folic acid before and during early pregnancy is essential.

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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?

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Naxlex Comprehensive Predictor Exams

A patient has tested positive for a sexually transmitted infection (STI). Which actions are essential in the management of this condition?

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Explanation

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Correct Answer is A

Explanation

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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?