A nurse is obtaining information about social determinants of health from a new client during their first prenatal visit. For which of the following responses by the client should the nurse seek more information?
I recently graduated and moved here for a full-time job that I love
I just moved here and don't know anyone. And my partner recently ended our relationship.
I have joined a group in my community for pregnant mothers
I have health insurance through my employer, and I have coverage for prenatal care.
The Correct Answer is B
A. This response does not raise immediate concerns. Having a full-time job that the client loves is a positive factor for their well-being.
B. This response indicates potential social isolation and emotional distress. The nurse should explore this further because the lack of social support and relationship challenges may affect the client's emotional and mental health during pregnancy.
C. Joining a community group for pregnant mothers is a positive step toward social support and can help alleviate isolation.
D. Having health insurance is a positive indicator that the client has access to prenatal care and is less likely to face financial barriers to healthcare.
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Related Questions
Correct Answer is B
Explanation
A. Decrease in production of sebaceous gland secretions is incorrect. Testosterone actually increases sebaceous gland activity, leading to an increase in oil production, which can contribute to acne during puberty.
B. Increase in muscle mass and strength is correct. Testosterone plays a key role in the development of secondary male characteristics, including increased muscle mass, strength, and the growth of larger bones.
C. Stimulation of production of white cells and platelets is incorrect. While testosterone affects many bodily functions, it does not directly stimulate the production of white cells or platelets.
D. Promotion of growth of small bones is incorrect. Testosterone is more closely associated with the growth and development of larger bones (e.g., long bones), leading to height increases during puberty. It does not promote the growth of small bones.
Correct Answer is D
Explanation
A. A ketogenic diet is not recommended during pregnancy, as carbohydrates are essential for fetal growth and energy. Adequate, balanced nutrition is key during pregnancy.
B. While water intake is important, pregnant clients are advised to drink 8–10 glasses of water daily to support increased blood volume and amniotic fluid. Six glasses would be insufficient.
C. An additional 1,000 calories per day is excessive for early pregnancy. During the first trimester, the calorie increase is minimal (approximately 150–200 calories), with more significant increases later in pregnancy.
D. Taking a prenatal vitamin daily ensures adequate intake of essential nutrients like folic acid and iron, which are critical for preventing neural tube defects and supporting maternal health.
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