A nurse is discussing contraception with a group of 14-year-old clients.
After the presentation, a client asks the nurse which method would be best for her.
What should the nurse respond?

Choice A rationale

While determining the viability of the fetus is an important aspect of prenatal care, it is not the primary purpose of an ultrasound in this scenario. The client’s report of feeling the baby moving suggests that the fetus is likely viable.

Choice B rationale

The primary purpose of the ultrasound in this scenario is to locate the placenta. Heavy, red vaginal bleeding at 38 weeks of gestation could indicate a complication such as placenta previa, where the placenta covers the cervix. An ultrasound can help confirm this diagnosis.

Choice C rationale

Measuring the biparietal diameter is a method used to estimate fetal weight and gestational age. However, in this scenario, the client is already known to be at 38 weeks of gestation, and the sudden onset of heavy, red vaginal bleeding is a more immediate concern.

Choice D rationale

Assessing fetal lung maturity is typically done when there is a risk of preterm delivery. In this scenario, the client is already at 38 weeks of gestation, which is considered full term. The immediate concern is the heavy, red vaginal bleeding.

Choice A rationale

Regular exercise is generally safe and beneficial for pregnant women. It can help manage weight gain, improve mood and energy levels, and reduce pregnancy discomfort. Daily jogging for up to 30 minutes is acceptable throughout the pregnancy as long as the woman feels comfortable and her healthcare provider has not indicated otherwise.

Choice B rationale

Activities that elevate body temperature, such as saunas and hot tubs, are not recommended during pregnancy. High body temperatures can be harmful to the fetus, especially during the first trimester.

Choice C rationale

Exercise during pregnancy is generally recommended unless there are specific health concerns or complications that make it unsafe. It’s always important for pregnant women to consult with their healthcare provider before starting or continuing an exercise regimen.

Choice D rationale

While stretching activities can be a part of a balanced exercise routine during pregnancy, they should not be the only form of exercise. A combination of aerobic and strength-conditioning exercises is typically recommended.