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. If only one parent carries the dominant gene, the probability of a child inheriting it is not 25%, as this would imply a recessive-recessive pairing.

B. In a scenario where one parent is heterozygous for a dominant gene and the other has two recessive alleles, each child has a 50% chance of inheriting the dominant gene. This outcome is based on Mendelian inheritance.

C. A 75% chance would occur in a scenario involving two heterozygous parents, which is not described here.

D. 100% inheritance occurs only when one parent is homozygous dominant, which is also not indicated in this case.

A. Deepening pigmentation B. Abdominal enlargement C. Ballottement D. Positive pregnancy test result

Correct Answer is A

Explanation

A. Deepening pigmentation, such as changes in the skin like melasma or linea nigra, is considered a presumptive sign of pregnancy, as it is subjective and not specific to pregnancy alone.

B. Abdominal enlargement is a probable sign of pregnancy as it is more objective and can be caused by the growing uterus. However, it may also occur due to other conditions, such as tumors or fluid accumulation.

C. Ballottement, a sensation felt when the fetus rebounds after being pushed gently, is a probable sign of pregnancy due to its reliance on the presence of a fetus.

D. A positive pregnancy test result is a probable sign because it detects hCG levels, which are strongly associated with pregnancy but may also be elevated in other conditions.

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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 B

Explanation

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Correct Answer is A

Explanation

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