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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. This statement is incorrect because sperm can survive inside the female reproductive tract for up to 5 days, meaning intercourse before ovulation can still result in pregnancy.

B. Uncertain is correct because while the egg does live only for about 24 hours after ovulation, sperm can survive for several days. Thus, intercourse 3 days before ovulation could still lead to pregnancy if sperm are still viable when the egg is released.

C. The ovum's survival time is generally known, so the risk is based on sperm viability and timing, not uncertainty about the egg.

D. While ovulation is necessary for conception, predicting it with certainty is not always possible, so this option is not entirely accurate.

A. "You should gain 11 to 20 pounds." B. "A gain of about 25 to 35 pounds is best for you and for your baby." C. "The recommendation for you is about 15 to 25 pounds." D. “It really doesn't matter exactly how much weight you gain, as long as your diet is healthy."

Correct Answer is C

Explanation

A. A weight gain of 11 to 20 pounds is recommended for those who are overweight (BMI 25-29.9) before pregnancy, but this BMI category may still be higher than 26.5.

B. A weight gain of 25 to 35 pounds is generally recommended for women with a normal BMI (18.5-24.9) before pregnancy.

C. The recommendation for you is about 15 to 25 pounds. This is the correct guideline for women with a BMI of 26.5, which places them in the overweight category. The goal is to prevent excessive weight gain while ensuring proper fetal growth.

D. It really doesn’t matter exactly how much weight you gain, as long as your diet is healthy is incorrect. Weight gain during pregnancy should be monitored carefully, as excessive weight gain can increase the risk of complications such as gestational diabetes and hypertension.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a couple has unprotected sexual intercourse 3 days before the woman ovulates, the risk of the woman becoming pregnant is:

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?

Correct Answer is C

Explanation

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