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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Posterior neck flexion is not a normal physiologic change in pregnancy; it is more associated with musculoskeletal issues unrelated to pregnancy.
B. An increase in lordosis is a common and expected change during pregnancy. As the uterus enlarges, the center of gravity shifts forward, causing an increase in the curvature of the lower back (lordosis).
C. Decreased mobility of pelvic joints is not typical. In fact, hormonal changes during pregnancy cause increased mobility of the pelvic joints (e.g., the pubic symphysis) to prepare for labor.
D. Increased abdominal muscle tone is not typical during pregnancy. In fact, abdominal muscles often stretch and weaken as the pregnancy progresses to accommodate the growing fetus.
Correct Answer is B
Explanation
A. Mood swings are common during pregnancy due to hormonal changes and are usually not an indication of a serious concern unless they become severe or are accompanied by other symptoms of depression.
B. Facial edema (especially sudden swelling of the face or eyes) can indicate preeclampsia, a potentially serious pregnancy complication. It should be reported to the provider.
C. Decreased energy is common, particularly in the first and third trimesters, and is generally not a cause for concern unless it is extreme or persistent.
D. Urinary frequency is a typical symptom of pregnancy, especially during the first and third trimesters, and is not usually a sign of a problem.
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