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 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.

A. 8 B. 24 C. 20 D. 14

Correct Answer is C

Explanation

A. At 8 weeks, the embryo is transitioning into the fetal stage of development and is not viable outside the womb. Organs are still in the early stages of formation.

B. While some sources may consider 24 weeks the age of "reasonable viability" with intensive medical support, many medical guidelines recognize viability beginning as early as 20 weeks under optimal conditions.

C. The age of 20 weeks is often cited as the lower threshold of fetal viability due to improved neonatal care, although survival rates improve significantly after this point.

D. At 14 weeks, the fetus is in the second trimester, but it is far too underdeveloped for survival outside the womb.

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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

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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